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Organization
VISTA CARE PHARMACY INC
Active
Organization
VISTA CARE PHARMACY INC
Active
Other names
VISTA CARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AMIR A. RAO (PRESIDENT/OWNER)
(909) 428-1400
Entity
Organization
Contact information
Practice address
16055 FOOTHILL BLVD, FONTANA, CA 92335-8053
(909) 428-1400
(909) 428-1500
Mailing address
16055 FOOTHILL BLVD, FONTANA, CA 92335-8053
(909) 428-1400
(909) 428-1500
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY 53799
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY 53799
BOARD OF PHARMACY PERMIT
CA
Enumeration date
12/11/2015
Last updated
12/17/2015
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