Organization · NPI-2

4minermeds.Com INC

Pharmacy, Mail Order Pharmacy · Moreno Valley, CA

NPI number1871801449
StatusActive
Last updated in NPPESJan 26, 2011

Details

NPI
1871801449
Entity type
Organization (NPI-2)
Legal business name
4minermeds.Com INC
Organization subpart
No
Enumeration date
Sep 16, 2010
Last updated
Jan 26, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336M0002X Pharmacy, Mail Order Pharmacy––Yes

Practice location

11854 Briar Knoll Pl
Moreno Valley, CA 92557-6229

Phone 951-790-6278

Mailing address

Po Box 608
Mira Loma, CA 91752-1924

Phone 951-790-6278

Authorized official

Seann Stepehn Miner
Cfo
9517906278

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