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1457913808
PROVERI RX LLC
STOCKTON, CA
NPI
1457913808
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Entity Type
Organization
Authorized Contact
DAVIS TRAN
Manager
805-300-3584
Organization Subpart ?
No
Primary Taxonomy
3336L0003X Pharmacy Long Term Care Pharmacy
Enumeration Date
2019-07-06
Last Update Date
2020-05-04
Business Address
PROVERI RX LLC
5713 N PERSHING AVE # A3
STOCKTON, CA 95207-4942
Phone number: 888-821-4174
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Mailing Address
PROVERI RX LLC
5713 N PERSHING AVE # A3
STOCKTON, CA 95207-4942
Phone number:
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