Imgrx Sj Valley, Inc.
NPI #1871695130 in Mendota, California
Provider Information
- NPI Number
- 1871695130
- Entity Type
- Organization
- Organization Name
- Imgrx Sj Valley, Inc.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- IMGRX SJ VALLEY, INC.
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Sep 5, 2006
- Last Updated
- Sep 20, 2022
Practice Location
- Address
- 121 BARBOZA ST
- Address 2
- BUILDING 3
- City
- Mendota
- State
- California
- ZIP Code
- 93640-1901
- Phone
- (559) 655-5000
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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