Organization
CORNER PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GERMINE POLISADZHYAN (CEO/OWNER)
(805) 995-9999
Entity
Organization
Contact information
Practice address
14721 PRINCETON AVE, MOORPARK, CA 93021-1436
(805) 995-9999
Mailing address
14721 PRINCETON AVE, MOORPARK, CA 93021-1436
(805) 995-9999
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
55660
CA
Other
Enumeration date
05/29/2017
Last updated
07/21/2022
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