Organization
PACIFIC PHARMACY GROUP
Active
Other names
Porter Ridge Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT TYREE (COO)
(949) 215-5522
Entity
Organization
Contact information
Practice address
19550 RINALDI STREET, SUITE 102, NORTHRIDGE, CA 91326
(949) 215-5522
Mailing address
19550 RINALDI STREET, SUITE 102, NORTHRIDGE, CA 91326
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
06/22/2009
Last updated
06/22/2009
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