Organization
ST. ANTONY PHARMACY INC.
Active
Other names
st antony pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
EMAD MICHAEL (OWNER PHARMACIST IN CHARGE)
(310) 524-9244
Entity
Organization
Contact information
Practice address
310 E GRAND AVE STE 105, EL SEGUNDO, CA 90245-3871
(310) 524-9244
(310) 524-9592
Mailing address
310 E GRAND AVE STE 105, EL SEGUNDO, CA 90245-3871
(310) 524-9244
(310) 524-9592
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA475230
—
CA
Enumeration date
05/25/2006
Last updated
03/08/2022
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