Organization · NPI-2

Amsam Enterprises LLC

Pharmacy, Community/Retail Pharmacy · Riverside, CA

NPI number1912406158
StatusActive
Last updated in NPPESFeb 6, 2018

Details

NPI
1912406158
Entity type
Organization (NPI-2)
Legal business name
Amsam Enterprises LLC
Organization subpart
No
Enumeration date
Feb 2, 2018
Last updated
Feb 6, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail PharmacyPHY55955CAYes

Other names

  • White Cross Pharmacy #2 (Doing Business As)

Practice location

7065 Indiana Ave Ste 310
Riverside, CA 92506-4167

Phone 951-370-1336 · Fax 951-370-1336

Mailing address

7065 Indiana Ave Ste 310
Riverside, CA 92506-4167

Phone 951-370-1336 · Fax 951-370-1336

Authorized official

Sameer Rakholia
Owner / Pic
9513701336

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