| NPI | 1356732135 |
|---|---|
| Doing Business As | BRAND NEW PHARMACY INC |
| Entity Type | Organization |
| Authorized Contact | SHAMS H GERGES Owner,Mgr,AO 909-335-5400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY52439) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2015-02-14 |
| Last Update Date | 2021-03-04 |