Organization
PHYSICIAN RX MGMT INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IRENE CABRAL (CEO)
(951) 471-3578
Entity
Organization
Contact information
Practice address
611 W GRAHAM AVE, LAKE ELSINORE, CA 92530-3516
(951) 471-3578
(951) 245-4725
Mailing address
31500 GRAPE ST # 3-120, LAKE ELSINORE, CA 92532-9702
(951) 471-3578
(951) 245-4725
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
2621975
CA
Other
Enumeration date
01/25/2007
Last updated
03/21/2008
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