Wayne SIU Et Al Ptr
Wayne SIU Et Al Ptr is a Pharmacy in Glendale, California. Licensed in California. Registered with an NPI since 2006.
- Licensed in
- CA
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
1505 Wilson Ter Ste 100Glendale, CA 91206-4071
Phone: (818) 409-8392
Fax: (818) 956-7631
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Retail Pharmacy (primary) | Taxonomy 3336C0003X · Licence PHY38258 (CA) |
|---|---|
| Pharmacy | Taxonomy 333600000X |
Record details
| NPI number | 1043322035 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Wayne Siu — Owner · (818) 409-8392 |
| Other names | Medical Terrace Pharmacy |
| NPI enumerated | August 31, 2006 |
| Last updated in NPPES | March 29, 2017 |
| Mailing address | 1505 Wilson Ter, Ste 100, Glendale, CA 91206-4071 |
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