Imgrx Slo, Inc.
NPI #1225582570 in San Luis Obispo, California
Provider Information
- NPI Number
- 1225582570
- Entity Type
- Organization
- Organization Name
- Imgrx Slo, Inc.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- IMGRX SLO, INC.
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Aug 3, 2016
- Last Updated
- Sep 15, 2022
Practice Location
- Address
- 77 CASA ST STE 205
- City
- San Luis Obispo
- State
- California
- ZIP Code
- 93405-5803
- Phone
- (512) 596-2930
Authorized Official
- Name
- MICHAEL BROWN
- Title
- VICE PRESIDENT, MANAGED SERVICES
- Phone
- (281) 749-4764
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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