Organization
A1C RX INC
Active
Other names
A1C Rx Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BOSSE (PRESIDENT)
(888) 692-1279
Entity
Organization
Contact information
Practice address
3125 TIGER RUN CT, STE B107, CARLSBAD, CA 92010-6649
(888) 692-1279
(760) 650-3591
Mailing address
3125 TIGER RUN CT, STE B107, CARLSBAD, CA 92010-6649
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
49220
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5632131
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/23/2008
Last updated
10/07/2008
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