Organization
AMERICAN CHRONICARE INC
Active
Other names
ANTELOPE VALLEY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCIS BONDZI-SIMPSON (PRESIDENT)
(661) 256-8981
Entity
Organization
Contact information
Practice address
1431 W ROSAMOND BLVD, STE 4, ROSAMOND, CA 93560-7428
(661) 256-8981
(661) 256-8984
Mailing address
1431 W ROSAMOND BLVD, STE 4, ROSAMOND, CA 93560-7428
(661) 256-8981
(661) 256-8984
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
46612
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5601756
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/10/2006
Last updated
08/05/2010
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