Organization
4MINERMEDS.COM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SEANN STEPEHN MINER (CFO)
(951) 790-6278
Entity
Organization
Contact information
Practice address
11854 BRIAR KNOLL PL, MORENO VALLEY, CA 92557-6229
(951) 790-6278
Mailing address
PO BOX 608, MIRA LOMA, CA 91752-1924
(951) 790-6278
Taxonomy
Speciality
Code
Description
License number
State
3336M0002X
Mail Order Pharmacy
Primary
—
—
Other
Enumeration date
09/16/2010
Last updated
01/26/2011
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