Organization
MODEL DRUG INC
Active
Other names
Model Drug
Organization subpart
No
Provider details
NPI number
Authorized official
RASMIK ZAKARIAN (PRESIDENT)
(559) 897-5111
Entity
Organization
Contact information
Practice address
911 OAK PARK BLVD, SUITE 101, PISMO BEACH, CA 93449-3405
(805) 481-5111
(805) 481-5729
Mailing address
1506 DRAPER ST, KINGSBURG, CA 93631-1909
(805) 481-5111
(805) 481-5729
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PHY51269
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2139162
PK
—
Enumeration date
02/26/2013
Last updated
12/18/2016
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