Organization
MODEL DRUG INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSS ZAKARIAN PHARM.D. (CEO)
(559) 897-5111
Entity
Organization
Contact information
Practice address
1506 DRAPER ST, KINGSBURG, CA 93631
(559) 897-5111
(559) 897-1926
Mailing address
1506 DRAPER ST, KINGSBURG, CA 93631
(559) 897-5111
(559) 897-1926
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
PHY46380
CA
Other
Enumeration date
08/03/2006
Last updated
08/12/2008
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