Clevis Management Corp
Pharmacy, Specialty Pharmacy in Norwalk, CA. Organization (NPI-2).
NPI number1669887378
StatusActive
Last updated in NPPESDec 4, 2014
Details
- NPI
- 1669887378
- Entity type
- Organization (NPI-2)
- Legal business name
- Clevis Management Corp
- Organization subpart
- No
- Enumeration date
- Jun 23, 2014
- Last updated
- Dec 4, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336S0011X | Pharmacy, Specialty Pharmacy | – | CA | Yes |
Other names
- Healhtcom Specialty Pharmacy (Doing Business As)
Practice location
11818 Rosecrans AveSuite A
Norwalk, CA 90650-4125
Phone 323-261-5866 · Fax 626-739-3048
Mailing address
13181 Crossroads Pkwy N Ste 200City Of Industry, CA 91746-3451
Phone 323-261-5866 · Fax 626-739-3048
Authorized official
Joshua Ly
Ceo
3232615866
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