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Organization
SAN ANTONIO REGIONAL HOSPITAL
Active
Organization
SAN ANTONIO REGIONAL HOSPITAL
Active
Other names
San Antonio Regional Hospital Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KEN SALTGAVER (DIRECTOR OF PHARMACY)
(909) 920-4939
Entity
Organization
Contact information
Practice address
999 SAN BERNARDINO RD, UPLAND, CA 91786-4920
(909) 985-2811
(909) 985-2814
Mailing address
999 SAN BERNARDINO RD, UPLAND, CA 91786-4920
(909) 985-2811
(909) 985-2814
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336I0012X
Institutional Pharmacy
Primary
HSP17209
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2162444
PK
—
Enumeration date
08/10/2016
Last updated
08/10/2016
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