Organization
FTF PHARMACY CORPORATION
Active
Other names
ST HELENS MEDICAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
YU CHANG (DIRECTOR)
(909) 428-9842
Entity
Organization
Contact information
Practice address
17577 ARROW BLVD, STE 101, FONTANA, CA 92335-4011
(909) 428-9842
(909) 428-9846
Mailing address
17577 ARROW BLVD, STE 101, FONTANA, CA 92335-4011
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY44987
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0541854
OTHER ID NUMBER
—
Enumeration date
10/03/2006
Last updated
08/31/2007
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