Organization
ATHENA PHARMACY INC
Active
Other names
986 Pharmacy #8015
Organization subpart
No
Provider details
NPI number
Authorized official
OLIVIA T MARTINEZ (CEO)
(626) 337-1510
Entity
Organization
Contact information
Practice address
14332 RAMONA BLVD., BALDWIN PARK, CA 91706-3241
(626) 337-1510
(626) 337-1540
Mailing address
14332 RAMONA BLVD., BALDWIN PARK, CA 91706-3241
(626) 337-1510
(626) 337-1540
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59003
CA BOP
CA
Enumeration date
12/16/2006
Last updated
08/22/2023
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