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KOHANA PHARMACY AND CENTER FOR REGENERATIVE MEDICINE INC

Medical Equipment Supplier Yellow Pages

San Luis Obispo, California

Provider NPI: 1982927323

Organization Information:
Organization Name:  KOHANA PHARMACY AND CENTER FOR REGENERATIVE MEDICINE INC


Practice Location:
181 TANK FARM RD STE 120  SAN LUIS OBISPO, CA 93401 US
Tel: 805-542-0864  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N3336C0004XSuppliers
Pharmacy
Compounding Pharmacy
N333600000XSuppliers
Pharmacy
Y3336C0003XSuppliers
Pharmacy
CA50264

Other Provider Identifiers:

IssuerNumberStateType
PK212418501
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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