IRDGAS
9375 San Fernando Rd
Sun Valley, CA 91352
818-768-3322
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0002X | Suppliers - Pharmacy - Clinic Pharmacy | CA | PHY406210 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PHA406210 | CA | MEDICAID |