Organization
ENKELI PHARMACY GROUP INC
Active
Organization
ENKELI PHARMACY GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEJING GUO (CEO)
(951) 289-9916
Entity
Organization
Contact information
Practice address
2392 UNIVERSITY AVE, RIVERSIDE, CA 92507-4266
(951) 289-9916
(888) 757-3815
Mailing address
2392 UNIVERSITY AVE, RIVERSIDE, CA 92507-4266
(951) 289-9916
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
54663
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2167209
PK
—
Enumeration date
01/10/2017
Last updated
01/23/2019
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