Organization
MID-BELL, LLC
Active
Other names
Calicare Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAUREN BETH MIDLARSKY BELLMAN D.O. (MANAGING MEMBER)
(561) 329-1821
Entity
Organization
Contact information
Practice address
12144 CENTRAL AVE STE B, CHINO, CA 91710-2420
(909) 591-8444
(909) 613-1560
Mailing address
12144 CENTRAL AVE STE B, CHINO, CA 91710-2420
(909) 591-8444
(909) 613-1560
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY56060
CA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2146900
PK
—
Enumeration date
07/17/2014
Last updated
04/02/2018
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