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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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