Organization
KHM PHARMACEUTICAL INC
Active
Other names
Cajon Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KHALID MAHFOUZ RPH (OWNER / PIC)
(909) 792-4922
Entity
Organization
Contact information
Practice address
232 CAJON ST STE A, REDLANDS, CA 92373-5216
(909) 792-4922
(909) 792-4822
Mailing address
232 CAJON ST, STE A, REDLANDS, CA 92373-5216
(909) 792-4922
(909) 792-4822
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY51038
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2136667
PK
—
05
—
3573240
—
CA
Enumeration date
07/03/2012
Last updated
01/15/2015
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