| NPI | 1912415118 |
|---|---|
| Doing Business As | ABC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ALYSSA TAMURA Pharmacist 909-546-1000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy (Licence: CA 55887) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA 55887) |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2018-01-22 |