Healthcare Provider Details

I. General information

NPI: 1699852566
Provider Name (Legal Business Name): ESA SAAR INC BARRONS PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2006
Last Update Date: 12/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2002 DURFEE AVE
S EL MONTE CA
91733-3713
US

IV. Provider business mailing address

2002 DURFEE AVE
S EL MONTE CA
91733-3713
US

V. Phone/Fax

Practice location:
  • Phone: 626-448-0408
  • Fax: 626-448-1039
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberPHY47084
License Number StateCA

VIII. Authorized Official

Name: SIMONE SAYEGH
Title or Position: PRESIDENT
Credential:
Phone: 626-448-0408