Organization
INTRA DRUGS ARTESIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BIANCA BANKS (PHARMACY COORDINATOR)
(310) 639-1653
Entity
Organization
Contact information
Practice address
403 S LONG BEACH BLVD, SUITE C, COMPTON, CA 90221-3449
(310) 639-1653
(310) 635-7374
Mailing address
403 S LONG BEACH BLVD, SUITE C, COMPTON, CA 90221-3449
(310) 639-1653
(310) 635-7374
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHY 30812
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA308120
—
CA
Enumeration date
07/26/2005
Last updated
10/13/2010
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