# ANGELIC RX PHARMACY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134814593
- **Authorized official:** SHIENA LEANO (CFO/VP/DIR)
- **Authorized official phone:** (909) 256-3773

## Contact information

- **Practice address:** 600 N MOUNTAIN AVE STE E, UPLAND, CA 91786-4359
- **Practice address phone:** (909) 256-3663
- **Practice address fax:** (909) 377-5025
- **Mailing address:** 600 N MOUNTAIN AVE STE E, UPLAND, CA 91786-4359
- **Mailing address phone:** (909) 256-3663
- **Mailing address fax:** (909) 377-5025

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 04/10/2023
- **Last updated:** 12/20/2023