Organization
HI-DESERT MEDICAL PHARMACY INC
Active
Other names
HI-DESERT MEDICAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PRINCE MENSAH (PHARMACIST-IN-CHARGE)
(646) 468-2765
Entity
Organization
Contact information
Practice address
1002 E AVE J, UNITE E-1, LANCASTER, CA 93535-3870
(661) 802-7601
(661) 802-7611
Mailing address
1002 E AVE J, UNITE E-1, LANCASTER, CA 93535-3870
(661) 802-7601
(661) 802-7611
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
54564
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2168278
PK
—
Enumeration date
02/01/2017
Last updated
12/21/2018
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