Organization
CLEVIS MANAGEMENT CORP.
Active
Other names
Healthcom Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT ISHIKAWA (BUSINESS MANAGER)
(323) 261-5866
Entity
Organization
Contact information
Practice address
1648 TYLER AVE, SUITE F, S EL MONTE, CA 91733-3440
(626) 350-1300
(626) 350-1306
Mailing address
13181 CROSSROADS PKWY N., SUITE 200, CITY OF INDUSTRY, CA 91746-3451
(323) 261-5866
(626) 739-3048
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
06/05/2014
Last updated
03/10/2015
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