Organization
IMGRX SLO, INC.
Active
Organization
IMGRX SLO, INC.
Active
Parent organization
IMGRX SLO, INC.
Other names
CHC Templeton Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
IMGRX SLO, INC.
Authorized official
MICHAEL BROWN (VICE PRESIDENT, MANAGED SERVICES)
(281) 749-4764
Entity
Organization
Contact information
Practice address
1330 LAS TABLAS RD STE 140, TEMPLETON, CA 93465-9758
(805) 542-6708
(805) 542-6793
Mailing address
13651 DUBLIN CT, STAFFORD, TX 77477-4317
(281) 749-2547
(614) 652-0326
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
09/14/2020
Last updated
01/11/2023
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