Provider Demographics
NPI:1033247408
Name:MCSTROUL ENTERPRISES INC.
Entity Type:Organization
Organization Name:MCSTROUL ENTERPRISES INC.
Other - Org Name:SANTA CLARITA VALLEY HEALTH CARE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:LORY
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:MCSTROUL
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:661-254-3600
Mailing Address - Street 1:23823 VALENCIA BLVD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-2103
Mailing Address - Country:US
Mailing Address - Phone:661-254-3600
Mailing Address - Fax:
Practice Address - Street 1:23823 VALENCIA BLVD
Practice Address - Street 2:SUITE 110
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-2103
Practice Address - Country:US
Practice Address - Phone:661-254-3600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2015-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA533063336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy