NPI Provider: 1801879291
Contact Name: MEHTA P JATIN
Position: PHARMACIST/OWNER
Phone: (760) 962-1200
Queens Pharmacy Information:
Queens Pharmacy organization have npi 1801879291, taxonomy code is 183500000X with license number is 46660 in . This Business address located in 12677 Hesperia Rd, Victorville, CA 92395 California.
Practice Location
Address: 12677 Hesperia Rd, Victorville, CA 92395
Phone: (760) 962-1200
Business Location
Address: 12677 Hesperia Rd, Victorville, CA 92395
Phone: (760) 962-1200
Fax: (760) 962-1222
Taxonomy
Taxonomy Code: 183500000X
License Number: 46660
License Number of State: CA
Primary Taxonomy Switch: Y
Enumeration Date: 11/21/2005
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