Organization
K AND S OWL INC
Active
Other names
OWL HOMECARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MAHER AKA PETER KALDAS RPH (CEO)
(626) 851-8199
Entity
Organization
Contact information
Practice address
13851 GARVEY AVE, UNIT A, BALDWIN PARK, CA 91706-4913
(626) 851-9199
(626) 851-8053
Mailing address
13851 GARVEY AVE, UNIT A, BALDWIN PARK, CA 91706-4913
(626) 851-9199
(626) 851-8053
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PHY45091
CA
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699717694
—
CA
01
—
1990639
PK
—
Enumeration date
06/12/2006
Last updated
02/18/2016
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