Organization
AMAX PHARMACY INC
Active
Other names
AMAX PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY RICHARD LEW (PRESIDENT/CEO)
(626) 495-1188
Entity
Organization
Contact information
Practice address
120 W HELLMAN AVE STE 102, MONTEREY PARK, CA 91754-1209
(626) 495-1188
(626) 495-0188
Mailing address
120 W HELLMAN AVE STE 102, MONTEREY PARK, CA 91754-1209
(626) 495-1188
(626) 495-0188
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY58730
BOARD OF PHARMACY
CA
Enumeration date
08/29/2006
Last updated
08/30/2022
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