Organization
MISSION CITY COMMUNITY NETWORK INC
Active
Other names
Mission City Community Network, Inc.-Community Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
NIK GUPTA (CEO)
(818) 895-3100
Entity
Organization
Contact information
Practice address
15206 PARTHENIA ST, NORTH HILLS, CA 91343-5305
(818) 895-3100
(818) 893-9464
Mailing address
15206 PARTHENIA ST, NORTH HILLS, CA 91343-5305
(818) 895-3100
(818) 893-9464
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
51462
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952797284
—
CA
01
—
2152432
PK
—
Enumeration date
04/14/2015
Last updated
04/01/2016
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