Organization
MICHEL DAHER CORP
Active
Other names
Pax Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHEL DAHER PHARMD (PHARMACIST-IN-CHARGE)
(626) 357-8500
Entity
Organization
Contact information
Practice address
931 BUENA VISTA ST, SUITE 104, DUARTE, CA 91010-1712
(626) 357-8500
Mailing address
931 BUENA VISTA STREET #104, DUARTE, CA 91010
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Enumeration date
10/28/2014
Last updated
07/17/2019
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