| Excel Specialty Pharmacy | |
|
604 N Magnolia Ave Ste 105 Clovis CA 93611-9205 | |
| (302) 229-5481 | |
| Not Available |
| Full Name | Excel Specialty Pharmacy |
|---|---|
| Speciality | Clinic/Center |
| Location | 604 N Magnolia Ave Ste 105, Clovis, California |
| Authorized Official Name and Position | Adeola O Edema (MANAGER) |
| Authorized Official Contact | 5593751241 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Excel Specialty Pharmacy 3338 Duncan Ave Clovis CA 93619-5007 Ph: (559) 375-1241 | Excel Specialty Pharmacy 604 N Magnolia Ave Ste 105 Clovis CA 93611-9205 Ph: (302) 229-5481 |
| NPI Number | 1932769684 |
|---|---|
| Provider Enumeration Date | 06/15/2019 |
| Last Update Date | 09/16/2021 |
| Certification Date | 09/16/2021 |
| Medicare PECOS PAC ID | 7618399940 |
|---|---|
| Medicare Enrollment ID | O20201207000900 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932769684 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| 333600000X | Pharmacy | () | Secondary |
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