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Organization

COSTCO PHARMACY

Active
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Organization

COSTCO PHARMACY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NATALIA CALEF PHARM. D. (PHARMACY MANAGER)
(909) 581-1700
Entity
Organization

Contact information

Practice address
11800 4TH ST, RANCHO CUCAMONGA, CA 91730-6129
(909) 581-1700
Mailing address
11800 4TH ST, RANCHO CUCAMONGA, CA 91730-6129
(909) 581-1700

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
46010
CA

Other

Enumeration date
09/25/2015
Last updated
09/25/2015
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