Organization
MEDS ENVY, INC.
Active
Other names
MY TOWN PHARMCY, MY TOWN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
YONG SOON CHANG (PRESIDENT)
(951) 943-1575
Entity
Organization
Contact information
Practice address
404 E 4TH ST, PERRIS, CA 92570-2201
(951) 943-1575
(951) 943-1577
Mailing address
404 E 4TH ST, PERRIS, CA 92570-2201
(951) 943-1575
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY55830
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992109722
—
CA
01
—
2148547
PK
—
Enumeration date
10/22/2014
Last updated
09/25/2017
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