| NPI | 1164985628 |
|---|---|
| Doing Business As | BRAND NEW PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MARINA GEORGE GERGES Owner/Manager 909-335-5400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2019-04-11 |