Organization
SIMONS DISCOUNT PHARMACY INC
Active
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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