Mari-mina Pharmaceuticals Inc
Long Term Care Pharmacy
10700 Jersey Blvd, 330-340, Rancho Cucamonga
California, 91730-5116
909-948-0206 909-948-0075
Mari-mina Pharmaceuticals Inc is an authorized DME supplier for medicare equipments and products.
Mari-mina Pharmaceuticals Inc is a Long Term Care Pharmacy in Rancho Cucamonga, California. It is located at 10700 Jersey Blvd, 330-340, Rancho Cucamonga and it's customer support contact number is 909-948-0206. The authorized person of Mari-mina Pharmaceuticals Inc is Sameh Rokes, RPH who is President of the pharmacy and his contact number is 909-465-9282. Active license number of Mari-mina Pharmaceuticals Inc is PHY49807 for Long Term Care Pharmacy in California. Mari-mina Pharmaceuticals Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Mari-mina Pharmaceuticals Inc is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Pharmacy Details:
Mari-mina Pharmaceuticals Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Mari-mina Pharmaceuticals Inc |
| Type: | Long Term Care Pharmacy |
| Location: | 10700 Jersey Blvd, 330-340, Rancho Cucamonga, California, 91730-5116 |
| Phone: | 909-948-0206 |
| Fax: | 909-948-0075 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Sameh Rokes |
| Credentials: | RPH |
| Position: | President |
| Contact Number: | 909-465-9282 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1013934876 |
| NPI Enumeration Date: | 17 Jul, 2006 |
| NPI Last Update On: | 20 Apr, 2017 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mari-mina Pharmaceuticals Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Long Term Care Pharmacy | PHY49807 | California | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Community/Retail Pharmacy | | | Secondary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1013934876 | Medicaid | California | |
| 2000992 | Other | | Pk |
Medicare Enrollment:
Mari-mina Pharmaceuticals Inc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 2365633328 | O20100930046686 | Mari-mina Pharmaceuticals Inc | DME SUPPLIER - PHARMACY |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 10700 Jersey Blvd, 330-340 Rancho Cucamonga, California |
| Zip: | 91730-5116 |
| Phone Number: | 909-948-0206 |
| Fax Number: | 909-948-0075 |
Patients can reach Mari-mina Pharmaceuticals Inc at
10700 Jersey Blvd, 330-340, Rancho Cucamonga, California or can
call on customer care at 909-948-0206.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.