Ivanhoe Pharmacy INC
NPI #1689927816 in Ivanhoe, California
Provider Information
- NPI Number
- 1689927816
- Entity Type
- Organization
- Organization Name
- Ivanhoe Pharmacy INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Oct 25, 2012
- Last Updated
- Dec 3, 2013
Practice Location
- Address
- 33060 ROAD 159
- City
- Ivanhoe
- State
- California
- ZIP Code
- 93235-1235
- Phone
- (559) 798-1219
Authorized Official
- Name
- EDWARD J DERDERIAN, PHARM.D.; R.PH.
- Title
- OWNER/PHARMACIST
- Phone
- (559) 798-1219
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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