Organization
COVINA PHARMACY INC
Active
Other names
ABC Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA CHANG (OWNER/PIC)
(626) 915-6615
Entity
Organization
Contact information
Practice address
1600 E CITRUS AVE STE K, REDLANDS, CA 92374-4218
(909) 726-3080
(909) 705-4951
Mailing address
1600 E CITRUS AVE STE K, REDLANDS, CA 92374-4218
(909) 726-3080
(909) 705-4951
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY54396
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2160388
PK
—
Enumeration date
05/03/2016
Last updated
02/15/2017
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