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Organization
LOMA LINDA UNIVERSITY COMMUNITY PHARMACY
Active
Organization
LOMA LINDA UNIVERSITY COMMUNITY PHARMACY
Active
Other names
LOMA LINDA UNIVERSITY COMM PHCY
Organization subpart
No
Provider details
NPI number
Authorized official
MONIQUE MOORE (PHARMACY MANAGER)
(909) 558-6447
Entity
Organization
Contact information
Practice address
25455 BARTON RD, STE 111 A, LOMA LINDA, CA 92354-3128
(909) 558-6447
(909) 558-6155
Mailing address
25455 BARTON RD, STE 111 A, LOMA LINDA, CA 92354-3128
(909) 558-6447
(909) 558-6155
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
Primary
PHY44526
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1997126
PK
—
05
—
PHA445260
—
CA
Enumeration date
09/12/2006
Last updated
09/30/2013
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