Organization
ANTON CORP
Active
Other names
Med-Rx Pharmacy and Compounding
Organization subpart
No
Provider details
NPI number
Authorized official
HASHEM HEIATI (OWNER/PIC)
(760) 724-7125
Entity
Organization
Contact information
Practice address
1031 E VISTA WAY, VISTA, CA 92084-4606
(760) 724-7125
(760) 724-7127
Mailing address
1031 E VISTA WAY, VISTA, CA 92084-4606
(760) 724-7125
(760) 724-7127
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY50583
CA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2129753
PK
—
Enumeration date
07/28/2005
Last updated
04/07/2016
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