Organization
SPHINX PHARMACY CORP
Active
Other names
Vida Drug Store
Organization subpart
No
Provider details
NPI number
Authorized official
AWNI ALFAKHOURI (CEO)
(909) 946-6624
Entity
Organization
Contact information
Practice address
437 N EUCLID AVE STE B, ONTARIO, CA 91762-3456
(909) 946-6624
Mailing address
437 N EUCLID AVE STE B, ONTARIO, CA 91762-3456
(909) 946-6624
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
04/20/2023
Last updated
04/20/2023
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