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Organization
ARROWMED LIMITED PARTNERSHIP
Active
Organization
ARROWMED LIMITED PARTNERSHIP
Active
Other names
arrowmed pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MISS BERLINDA PHOMMALAYVANE PHARMACY TECH (CEO)
(909) 466-6701
Entity
Organization
Contact information
Practice address
9057 ARROW ROUTE, SUITE 170C, RANCHO CUCAMONGA, CA 91730-4452
(909) 476-1992
(909) 476-7747
Mailing address
9057 ARROW ROUTE, SUITE 170C, RANCHO CUCAMONGA, CA 91730-4452
(909) 476-1992
(909) 476-7747
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
PHY47175
CA
3336C0003X
Community/Retail Pharmacy
PHY47175
CA
Other
Enumeration date
02/25/2008
Last updated
07/07/2008
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