Organization
ASR HEALTH INC.
Active
Other names
QUEENS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SRINIVASA RAO KANDRU (DIRECTOR)
(661) 722-5784
Entity
Organization
Contact information
Practice address
12677 HESPERIA RD STE 180, VICTORVILLE, CA 92395-7754
(760) 962-1200
Mailing address
12677 HESPERIA RD STE 180, VICTORVILLE, CA 92395-7754
(760) 962-1200
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
07/07/2020
Last updated
07/07/2020
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