I M B ENTERPRISES
81893 Dr Carreon Blvd Ste 7
Indio, CA 92201
760-347-0659
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 333600000X | Suppliers - Pharmacy - | ||
Y | 3336C0003X | Suppliers - Pharmacy | CA | PHY21267 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PHA212670 | CA | MEDICAID | |
PK | 2000923 | OTHER |