Organization · Type 2 NPI

MMG Team Inc

Long Term Care Pharmacy · Lake Balboa, CA

NPI number 1689425514 Active

Practice location

6727 Odessa Ave Ste 201
Lake Balboa, CA 91406-5747

Fax (818) 475-1611

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Long Term Care Pharmacy Primary	3336L0003X	None listed

Long Term Care Pharmacy: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

NPI record

NPI: 1689425514
Entity type: Organization (Type 2)
Issued: Mar 28, 2024
Last updated: Jun 5, 2024
Status: Active

Other names

<unavail>
Westcoast Specialty Pharmacy · doing business as
Westcoast Specialty Pharmacy · doing business as

Authorized official

Marine Mananyan Gyulbekyan, PHARM D
President/ceo
(818) 743-4373

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About NPI 1689425514

MMG Team Inc's National Provider Identifier is 1689425514, issued on Mar 28, 2024. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Lake Balboa, CA. The record was last updated on Jun 5, 2024.