Organization
DR GRAM PHARMACY, INC.
Active
Other names
Med Rx Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BERNARD JOHN GRAMLICH PHARM.D (CEO)
(760) 741-9804
Entity
Organization
Contact information
Practice address
909 E VALLEY PKWY, ESCONDIDO, CA 92025-3428
(760) 741-9804
(760) 741-0584
Mailing address
909 E VALLEY PKWY, ESCONDIDO, CA 92025-3428
(760) 741-9804
(760) 741-0584
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHY50645
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA410170
—
CA
05
—
PHY410170
—
CA
Enumeration date
07/28/2005
Last updated
11/09/2011
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