Organization
BRILOR, INC.
Active
Other names
Sequoia Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL GLOBERMAN (PRESIDENT)
(562) 407-9338
Entity
Organization
Contact information
Practice address
590 W PUTNAM AVE, SUITE 1, PORTERVILLE, CA 93257-3257
(559) 784-6336
Mailing address
14111 FREEWAY DR, SUITE 208, SANTA FE SPRINGS, CA 90670-5822
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY35854
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0518588
NCPDP
CA
Enumeration date
08/30/2006
Last updated
08/22/2020
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