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Organization

J&J RX

Active
Other names
BALDY VISTA PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
JOHNNY WONG PHARMD (PRESIDENT)
(909) 762-7852
Entity
Organization

Contact information

Practice address
403 W F ST, ONTARIO, CA 91762-3207
(909) 467-1313
(909) 467-1362
Mailing address
403 W F ST, ONTARIO, CA 91762-3207
(909) 467-1313
(909) 467-1362

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0570932
NCPDP
CA
05
PHA441080
CA
Enumeration date
09/25/2006
Last updated
07/17/2019
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