Organization
DOMEL INC.
Active
Other names
SAIL DRUG AND DISCOUNT CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MELVIN EIREW (PRESIDENT)
(951) 658-7247
Entity
Organization
Contact information
Practice address
12350 CALIFORNIA ST, YUCAIPA, CA 92399-4404
(909) 797-9191
(909) 797-4784
Mailing address
PO BOX 1497, HEMET, CA 92546-1497
(909) 797-9191
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY18305
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1995688
PK
—
05
—
PHA183050
—
CA
Enumeration date
09/12/2006
Last updated
03/08/2017
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