Provider Demographics
NPI:1942221650
Name:FEMININE PHARMD INC
Entity Type:Organization
Organization Name:FEMININE PHARMD INC
Other - Org Name:PERRIS HILLS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:BEAUDRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-302-4903
Mailing Address - Street 1:32605 TEMECULA PKWY
Mailing Address - Street 2:SUITE 304
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92592-6837
Mailing Address - Country:US
Mailing Address - Phone:951-302-4903
Mailing Address - Fax:951-302-4904
Practice Address - Street 1:524 W 4TH ST STE A
Practice Address - Street 2:
Practice Address - City:PERRIS
Practice Address - State:CA
Practice Address - Zip Code:92570-2016
Practice Address - Country:US
Practice Address - Phone:951-657-9511
Practice Address - Fax:951-657-5481
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-21
Last Update Date:2020-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA514283336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2140850OtherPK