Medical Base Pharmacy/dme
NPI #1932377363 in South El Monte, California
Provider Information
- NPI Number
- 1932377363
- Entity Type
- Organization
- Organization Name
- Medical Base Pharmacy/dme
- Primary Specialty
- Pharmacy
- Enumeration Date
- Feb 19, 2008
- Last Updated
- Feb 19, 2008
Practice Location
- Address
- 11135 RUSH ST
- Address 2
- SUITE #H
- City
- South El Monte
- State
- California
- ZIP Code
- 91733-3511
- Phone
- (626) 215-2268
Authorized Official
- Name
- TRINIDAD M. BAGOYO, RPH
- Title
- PRESIDENT
- Phone
- (626) 215-2268
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
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