Organization
SG PHARMA INC
Active
Other names
ACCESS SPECIALTY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
EBRAM TAWDROUS PHARMACIST (CEO)
(559) 274-3234
Entity
Organization
Contact information
Practice address
4905 STOCKDALE HWY, BAKERSFIELD, CA 93309-2637
(661) 489-3500
(661) 489-3553
Mailing address
4905 STOCKDALE HWY, BAKERSFIELD, CA 93309-2637
(661) 489-3500
(661) 489-3553
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60659
CALIFORNIA STATE BOARD OF PHARMACY LICENSE
CA
Enumeration date
04/28/2020
Last updated
04/25/2025
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