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Organization

MAEVELLE LLC

Active
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Organization

MAEVELLE LLC

Active
Other names
ISLAND PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LINDA MAHLMANN PHARM D (MEMBER/PIC)
(949) 640-0455
Entity
Organization

Contact information

Practice address
2095 SAN JOAQUIN HILLS RD, NEWPORT BEACH, CA 92660-6505
(949) 640-0455
(949) 209-5869
Mailing address
2095 SAN JOAQUIN HILLS RD, NEWPORT BEACH, CA 92660-6505
(949) 640-0455
(949) 209-5869

Taxonomy

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

Other

Enumeration date
04/04/2013
Last updated
04/04/2013
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