Organization
INNOVATIVE RX INC
Active
Other names
Medicap Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOMMY CHUNG (PRESIDENT)
(978) 328-6109
Entity
Organization
Contact information
Practice address
4917 E KINGS CANYON RD STE 102, FRESNO, CA 93727-3996
(559) 255-8085
Mailing address
4917 E KINGS CANYON RD STE 102, FRESNO, CA 93727-3996
(559) 255-8085
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
11/18/2019
Last updated
11/23/2020
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