Organization
BHARGAV CHIMANLAL PATEL
Active
Other names
Mountain Plaza pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BHARGAV C PATEL (OWNER-PHARMACIST)
(909) 985-0914
Entity
Organization
Contact information
Practice address
1607 N MOUNTAIN AVE, UPLAND, CA 91784-1732
(909) 985-0914
(909) 985-0893
Mailing address
1607 N MOUNTAIN AVE, UPLAND, CA 91784-1732
(909) 985-0914
(909) 985-0893
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY43654
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0589537
NCPDP NO.
CA
05
—
PHA436540
—
CA
Enumeration date
01/23/2007
Last updated
03/07/2023
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