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Organization

RADIANCE PHARMACY INC

Active
Other names
RADIANCE PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
NIKUNJ C DHAMI (PRESIDENT/CEO)
(909) 333-4567
Entity
Organization

Contact information

Practice address
1823 COMMERCENTER W, SAN BERNARDINO, CA 92408-3300
(909) 333-4567
(909) 333-4564
Mailing address
1823 COMMERCENTER W, SAN BERNARDINO, CA 92408-3300
(909) 333-4567
(909) 333-4564

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PHY61349
BOP
CA
Enumeration date
09/26/2018
Last updated
11/10/2025
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