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Organization
BEAR CREEK PHARMACY LTC
Active
Organization
BEAR CREEK PHARMACY LTC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY JOSEPH COATS PHARM D (OWNER)
(951) 677-5220
Entity
Organization
Contact information
Practice address
36243 INLAND VALLEY DRIVE, SUITE 150, WILDOMAR, CA 92595
(951) 677-5220
(951) 677-1149
Mailing address
36243 INLAND VALLEY DRIVE, SUITE 150, WILDOMAR, CA 92595
(951) 677-5220
(951) 677-1149
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHY47553
CA
Other
Enumeration date
04/11/2007
Last updated
08/22/2020
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