Organization
MEDRX PHARMA INC
Active
Other names
North D LTC Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PHOEBE RUTH MARTIN (OWNER)
(909) 515-0551
Entity
Organization
Contact information
Practice address
1556 N D ST STE B, SAN BERNARDINO, CA 92405-4710
(909) 515-0551
(909) 515-0552
Mailing address
1556 N D ST STE B, SAN BERNARDINO, CA 92405-4710
(909) 515-0551
(909) 515-0552
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
08/16/2024
Last updated
08/19/2024
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