Organization
ST. ANTONY PHARMACY INC.
Active
Other names
st antony pharmacy / LTC
Organization subpart
No
Provider details
NPI number
Authorized official
EMAD MICHAEL (PIC)
(310) 524-9244
Entity
Organization
Contact information
Practice address
310 E GRAND AVE STE 104, EL SEGUNDO, CA 90245-3871
(310) 524-9244
Mailing address
310 E GRAND AVE STE 104, EL SEGUNDO, CA 90245-3871
(310) 524-9244
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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