Organization
ST GEORGE PHARMACEUTICAL INC
Active
Other names
Alpha Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
EBRAM TAWDROUS TAWDROUS RPH (PRESIDENT)
(559) 274-3234
Entity
Organization
Contact information
Practice address
873 E MERRITT AVE, TULARE, CA 93274-2246
(559) 556-6014
(559) 556-6051
Mailing address
873 E MERRITT AVE, TULARE, CA 93274-2246
(559) 556-6014
(559) 556-6051
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
55431
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2167927
PK
—
Enumeration date
11/08/2016
Last updated
04/09/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us