Organization
PHARMACY MART INC
Active
Other names
The Medicine Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
TONY IBRAHIM (OWNER)
(760) 987-6796
Entity
Organization
Contact information
Practice address
4050 PHELAN RD STE 8, PHELAN, CA 92371-4454
(760) 868-2800
(760) 868-5252
Mailing address
4050 PHELAN RD STE 8, PHELAN, CA 92371-4454
(760) 868-2800
(760) 868-5252
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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