Organization
AVVA MINA INC
Active
Other names
DOCTOR'S CHOICE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RANIA SHENODA (OWNER)
(909) 532-5588
Entity
Organization
Contact information
Practice address
639 N 13TH AVE, UPLAND, CA 91786-4906
(909) 532-5588
Mailing address
639 N 13TH AVE, UPLAND, CA 91786-4906
(909) 532-5588
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861131211
—
CA
Enumeration date
06/02/2022
Last updated
02/27/2025
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