Organization
CBC PROFESSIONAL PHARMACY INC
Active
Other names
CBC ROSE CLINIC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MARLA FREED (PRESIDENT)
(909) 982-4843
Entity
Organization
Contact information
Practice address
420 W ROWLAND ST, COVINA, CA 91723-2943
(626) 966-9888
(626) 966-1879
Mailing address
1932 ERVILLA PL, POMONA, CA 91767-3019
(909) 629-2823
(909) 629-2891
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY48773
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1989164
PK
—
05
—
PHA487730
—
CA
Enumeration date
09/30/2006
Last updated
05/21/2014
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