Organization
KBC PHARMACY INC
Active
Other names
986 Pharmacy #8024
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE PATEL (VP)
(909) 338-1875
Entity
Organization
Contact information
Practice address
24057 LAKE DRIVE, STE 1 PO BOX 2220, CRESTLINE, CA 92325-2220
(909) 338-1875
(909) 338-1876
Mailing address
2476 HUNTINGTON DR, SAN MARINO, CA 91108-2643
(888) 986-7666
(626) 399-0421
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295869733
—
CA
01
—
2154295
PK
—
Enumeration date
03/15/2007
Last updated
06/18/2026
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