Organization
PHARMTOX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATT WALK (MBR)
(805) 522-9274
Entity
Organization
Contact information
Practice address
980 ENCHANTED WAY, SIMI VALLEY, CA 93065-0911
(805) 522-9274
Mailing address
1464 MADERA RD # N-181, SIMI VALLEY, CA 93065-3077
(805) 522-9274
(805) 522-9374
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
01/19/2009
Last updated
01/19/2009
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