Poulter Enterprises INC
NPI #1386738789 in Baldwin Park, California
Provider Information
- NPI Number
- 1386738789
- Entity Type
- Organization
- Organization Name
- Poulter Enterprises INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Oct 3, 2006
- Last Updated
- Mar 7, 2023
Practice Location
- Address
- 1624 PUENTE AVE
- City
- Baldwin Park
- State
- California
- ZIP Code
- 91706-5952
- Phone
- (626) 960-4774
Authorized Official
- Name
- DENA FERMAN
- Title
- THIRD PARTY PLAN COORDINATOR
- Phone
- (314) 993-6000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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