Organization
NEW CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIROLOS ANDRAWOS (PIC)
(626) 383-5711
Entity
Organization
Contact information
Practice address
12384 PALMDALE RD STE 105, VICTORVILLE, CA 92392-8506
(909) 726-7890
Mailing address
12384 PALMDALE RD STE 105, VICTORVILLE, CA 92392-8506
(909) 726-7890
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
04/19/2024
Last updated
04/19/2024
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