BRIAN FONTAINE KEYS

RIVERSIDE, CA
NPI1184736001
Doing Business AsCOMMUNITY PROFESSIONAL PHARMACY
Entity TypeOrganization
Authorized ContactBRIAN KEYES
Rph
951-683-1200
Organization Subpart ?No
Primary Taxonomy3336C0003X Pharmacy, Community/Retail Pharmacy
(Licence: CA  PHY22224)
Additional Taxonomies333600000X Pharmacy
3336C0004X Pharmacy, Compounding Pharmacy
Enumeration Date2006-08-31
Last Update Date2018-07-19
Business Address
BRIAN FONTAINE KEYS
4510 BROCKTON AVE STE 107 STE 107
RIVERSIDE, CA 92501-4020
Phone number: 951-683-1200
Mailing Address
BRIAN FONTAINE KEYS
4510 BROCKTON AVE STE 107 STE 107
RIVERSIDE, CA 92501-4020
Phone number: 951-683-1200