Organization
SAN ANTONIO REGIONAL HOSPITAL
Active
Other names
San Antonio Regional Hospital Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KEN SALTGAVER (DIRECTOR OF PHARMACY)
(909) 920-4939
Entity
Organization
Contact information
Practice address
999 SAN BERNARDINO RD, UPLAND, CA 91786-4920
(909) 985-2811
(909) 985-2814
Mailing address
999 SAN BERNARDINO RD, UPLAND, CA 91786-4920
(909) 985-2811
(909) 985-2814
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336I0012X
Institutional Pharmacy
Primary
HSP17209
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2162444
PK
—
Enumeration date
08/10/2016
Last updated
08/10/2016
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