Organization
THE MITRY GROUP INC
Active
Other names
Mitry Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRIF MITRY PHARM.D.,M.B.A. (CEO/PIC)
(540) 818-2229
Entity
Organization
Contact information
Practice address
145 E DUARTE RD STE D, ARCADIA, CA 91006-6691
(626) 317-5052
(626) 317-5091
Mailing address
145 E DUARTE RD STE D, ARCADIA, CA 91006-6691
(626) 317-5052
(626) 317-5091
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY55285
CA
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2166732
PK
—
Enumeration date
12/05/2016
Last updated
03/08/2017
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