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Organization

IPHARMACY INC

Active
Other names
Santa Fe Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
MARIAN MIKHAIL RPH (CEO/PIC/AO)
(909) 342-9181
Entity
Organization

Contact information

Practice address
12916 CENTRAL AVE, CHINO, CA 91710-4121
(909) 342-9181
(909) 342-9172
Mailing address
12916 CENTRAL AVE, CHINO, CA 91710-4121
(909) 342-9181
(909) 342-9172

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
PHY53706
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2154307
PK
Enumeration date
09/06/2015
Last updated
04/25/2017
About Stedi
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  • EDI platform