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Organization

NTEGROUS CORE CORPORATION

Active
Other names
Anderson Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
MARVA ANDERSON BRANNUM (CEO/CFO/SEC./DIR.)
(626) 398-1696
Entity
Organization

Contact information

Practice address
2700 E FOOTHILL BLVD STE 205, PASADENA, CA 91107-7106
(626) 398-1696
(626) 398-9860
Mailing address
2700 E FOOTHILL BLVD STE 205, PASADENA, CA 91107-7106
(626) 398-1696
(626) 398-9860

Taxonomy

Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1336230010
CA
05
PHA343070
CA
Enumeration date
08/10/2026
Last updated
08/10/2026
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