Organization
EXCEL SPECIALTY PHARMACY LLC
Active
Organization
EXCEL SPECIALTY PHARMACY LLC
Active
Other names
EXCEL SPECIALTY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADEOLA O EDEMA (MANAGER)
(559) 375-1241
Entity
Organization
Contact information
Practice address
604 N MAGNOLIA AVE STE 105, CLOVIS, CA 93611-9205
(302) 229-5481
Mailing address
3338 DUNCAN AVE, CLOVIS, CA 93619-5007
(559) 375-1241
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
333600000X
Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932769684
—
CA
Enumeration date
06/15/2019
Last updated
09/16/2021
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