Organization
SKY NEAK PHARMACY INC.
Active
Other names
Merced Medical Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON LEE SOU RPH (CEO)
(818) 281-7283
Entity
Organization
Contact information
Practice address
1515 W MERCED AVE, WEST COVINA, CA 91790-3403
(626) 962-3685
(626) 962-3515
Mailing address
1515 W MERCED AVE, WEST COVINA, CA 91790-3403
(626) 962-3685
(626) 962-3515
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2121504
PK
—
Enumeration date
07/09/2009
Last updated
07/24/2025
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