Organization
MERCED MEDICAL PHARMACY INC
Active
Other names
MERCED MEDICAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE FURUTA (PRESIDENT)
(626) 962-3685
Entity
Organization
Contact information
Practice address
1515 W MERCED AVE, WEST COVINA, CA 91790-3403
(626) 962-3685
(626) 962-3515
Mailing address
1515 W MERCED AVE, WEST COVINA, CA 91790-3403
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY19902
CA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0507270
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
PHA199020
—
CA
Enumeration date
10/26/2006
Last updated
09/11/2025
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