Organization
TRLSM GROUP INC
Active
Other names
Medallion Prescription Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY ANH TRAN (AUTHORIZED OFFICAL)
(818) 340-0212
Entity
Organization
Contact information
Practice address
23101 SHERMAN PL, UNIT 101, WEST HILLS, CA 91307-2003
(818) 340-0212
(818) 340-0218
Mailing address
23101 SHERMAN PL, UNIT 101, WEST HILLS, CA 91307-2003
(818) 340-0212
(818) 340-0218
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY48673
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992996243
—
CA
Enumeration date
08/01/2007
Last updated
11/23/2022
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