Organization
CASA DRUGS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK W. LEHEW RPH. (PRESIDENT)
(619) 466-4143
Entity
Organization
Contact information
Practice address
9927 CAMPO RD, SPRING VALLEY, CA 91977-1609
(619) 466-4143
Mailing address
9927 CAMPO RD, SPRING VALLEY, CA 91977-1609
(619) 466-4143
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY19238
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA192380
—
CA
Enumeration date
08/16/2006
Last updated
08/22/2020
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