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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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