| NPI | 1770575128 |
|---|---|
| Doing Business As | PHILLIPS RANCH PHARMACY |
| Entity Type | Organization |
| Authorized Contact | WILLIAM SCOTT EVANS President/CEO 909-868-7363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: CA PHY53435) |
| Enumeration Date | 2005-08-21 |
| Last Update Date | 2022-11-15 |