Organization
SIMONS DISCOUNT PHARMACY INC
Active
Other names
Simons Discount Pharmacy II
Organization subpart
No
Provider details
NPI number
Authorized official
MARY IBRAHIM RPH (OWNER,PIC,AO)
(310) 518-0020
Entity
Organization
Contact information
Practice address
111 E CARSON ST, STE B, CARSON, CA 90745-2731
(310) 518-0020
(310) 518-0025
Mailing address
111 E CARSON ST, STE B, CARSON, CA 90745-2731
(310) 518-0020
(310) 518-0025
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY49812
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2118999
PK
—
Enumeration date
01/26/2009
Last updated
08/18/2015
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