Organization
IMGRX SALUD INC
Active
Parent organization
IMGRX SALUD INC
Other names
Salud Clinic Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
IMGRX SALUD INC
Authorized official
MICHAEL BROWN (VICE PRESIDENT, MANAGED SERVICES)
(281) 749-4764
Entity
Organization
Contact information
Practice address
500B JEFFERSON BLVD STE 181, WEST SACRAMENTO, CA 95605-2350
(916) 403-2988
(916) 403-2985
Mailing address
13651 DUBLIN CT, STAFFORD, TX 77477-4317
(281) 749-4000
(614) 652-0326
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
54287
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700246360
—
CA
01
—
2158303
PK
—
Enumeration date
02/25/2016
Last updated
09/14/2022
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