Organization
MEDS ENVY, INC.
Active
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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