Organization
MALLI, INC.
Active
Other names
Tower Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LAKSHMI SRIHARSHA BINGI (CEO)
(978) 918-1064
Entity
Organization
Contact information
Practice address
501 E OLIVE AVE, TURLOCK, CA 95380
(209) 250-1786
(209) 250-2815
Mailing address
501 E OLIVE AVE, TURLOCK, CA 95380-4012
(209) 250-1786
(209) 250-2815
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY56112
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5615096
OTHER ID NUMBER
—
05
—
PHA470000
—
CA
Enumeration date
02/21/2007
Last updated
06/27/2018
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