| NPI | 1801218029 |
|---|---|
| Doing Business As | PHILLIPS RANCH PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JOANNE T EVANS Secretary/PIC 909-766-8330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY 51705) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: CA PHY 51705) |
| Enumeration Date | 2014-01-07 |
| Last Update Date | 2021-05-20 |