Pharmedquest Pharmacy Services
Pharmacy, Community/Retail Pharmacy in Lynwood, CA. Organization (NPI-2).
NPI number1902409550
StatusActive
Last updated in NPPESMar 14, 2024
Details
- NPI
- 1902409550
- Entity type
- Organization (NPI-2)
- Legal business name
- Pharmedquest Pharmacy Services
- Organization subpart
- No
- Enumeration date
- Nov 17, 2020
- Certification date
- Mar 14, 2024
- Last updated
- Mar 14, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
| 333600000X | Pharmacy | – | – |
Other names
- Avita Pharmacy 1003 (Doing Business As)
Practice location
3590 E Imperial Hwy Rm 101Lynwood, CA 90262-2655
Phone 714-364-4008
Mailing address
10604 Coursey BlvdBaton Rouge, LA 70816-4015
Phone 714-599-8181 · Fax 714-599-8242
Authorized official
Dalila Ibarra
Licensing & Credentialing Coordinat
6572867957
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