Organization
MEGA MEMBER PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANATOLI KOUZINE (PRESIDENT)
(323) 350-4069
Entity
Organization
Contact information
Practice address
6266 ROSEMEAD BLVD, TEMPLE CITY, CA 91780-1560
(323) 350-4069
Mailing address
8306 WILSHIRE BLVD, 3004, BEVERLY HILLS, CA 90211-2382
(323) 350-4069
Taxonomy
Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Enumeration date
04/14/2009
Last updated
04/14/2009
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