Organization
JMC PHARMACY, INC.
Active
Other names
abc pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN CHAN PHARMD (OWNER)
(909) 285-1118
Entity
Organization
Contact information
Practice address
3907 CHICAGO AVE STE A, RIVERSIDE, CA 92507-5367
(909) 415-3131
(909) 415-3268
Mailing address
3907 CHICAGO AVE STE A, RIVERSIDE, CA 92507-5367
(909) 415-3131
(909) 415-3268
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
52548
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023493244
—
CA
01
—
58794
BOARD OF PHARMACY
CA
Enumeration date
07/29/2015
Last updated
12/09/2022
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