Organization
MARIN WELLNESS PHARMACY LLC
Active
Other names
Apex Infusion Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MOUSSIE HAILEMARIAM (PRESIDENT)
(707) 953-4528
Entity
Organization
Contact information
Practice address
3299 E HILL ST, STE 301, SIGNAL HILL, CA 90755-1231
(562) 597-6800
(562) 597-6844
Mailing address
3299 E HILL ST, STE 301, SIGNAL HILL, CA 90755-1231
(562) 597-6800
(562) 597-6844
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457602294
—
CA
01
—
2137050
PK
—
Enumeration date
09/19/2012
Last updated
11/19/2024
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