Organization
SEVENTH-DAY ADVENTISTS LOMA LINDA UNIVERSITY MEDICAL CENTER, INC.
Active
Other names
Campus Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE PARK PHARMD (PHARMACY SUPERVISOR)
(909) 558-4566
Entity
Organization
Contact information
Practice address
11161 ANDERSON ST, LOMA LINDA, CA 92354-2824
(909) 558-4566
(909) 558-4586
Mailing address
11161 ANDERSON ST, LOMA LINDA, CA 92354-2824
(909) 558-4566
(909) 558-4586
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHY35986
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05-64434
NAPB
CA
05
—
PHA359860
—
CA
Enumeration date
10/04/2006
Last updated
06/26/2008
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