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Organization
PHARMACY PRACTICE GROUP
Active
Organization
PHARMACY PRACTICE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. ROGER KLOTZ R.PH. (ASSISTANT PROFESSOR OF PHARMACY)
(909) 469-5498
Entity
Organization
Contact information
Practice address
309 E 2ND ST, HPC 133, POMONA, CA 91766-1854
(909) 706-3528
Mailing address
309 E 2ND ST, HPC 133, POMONA, CA 91766-1854
(909) 706-3528
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
38533
CA
Other
Enumeration date
01/08/2009
Last updated
10/26/2012
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