Organization
MARI-MINA PHARMACEUTICALS INC
Active
Organization
MARI-MINA PHARMACEUTICALS INC
Active
Other names
Del's Pharmacy II
Organization subpart
No
Provider details
NPI number
Authorized official
SAMEH ROKES (PRESIDENT/PIC)
(626) 357-8500
Entity
Organization
Contact information
Practice address
931 BUENA VISTA ST STE 104, DUARTE, CA 91010-1780
(626) 357-8500
(626) 357-0119
Mailing address
931 BUENA VISTA ST, SUITE 104, DUARTE, CA 91010-1712
(626) 357-8500
(626) 357-0119
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
50934
CA
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5645190
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/14/2012
Last updated
03/26/2013
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