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IRVINE SAND CANYON PHARMACY INC

Medical Equipment Supplier Yellow Pages

Palm Desert, California

Provider NPI: 1609904119

Organization Information:
Organization Name:  IRVINE SAND CANYON PHARMACY INC


Practice Location:
72624 EL PASEO SUITE A1 PALM DESERT, CA 92260 US
Tel: 760-341-3984  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y3336C0004XSuppliers
Pharmacy
Compounding Pharmacy
CA99148

Other Provider Identifiers:

IssuerNumberStateType
PHARMACY LICENSE44047CA01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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