Organization
HP BADESHA CO
Active
Other names
GLENDORA MEDICAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PARAMJIT KAUR RANDHAWA (PRESIDENT/CEO)
(626) 335-0288
Entity
Organization
Contact information
Practice address
130 W ROUTE 66 STE 104, GLENDORA, CA 91740-6250
(626) 335-0288
(626) 335-1487
Mailing address
130 W ROUTE 66 STE 104, GLENDORA, CA 91740-6250
(626) 335-0288
(626) 335-1487
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY47517
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1996062
PK
—
05
—
PHA475170
—
CA
Enumeration date
08/09/2006
Last updated
10/30/2020
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