Organization
CALIFORNIA PHRM SERV INC
Active
Other names
ARROW MEDICAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLEE PHELPS (PIC)
(626) 339-6141
Entity
Organization
Contact information
Practice address
453 E ARROW HWY, STE E, AZUSA, CA 91702-5612
(626) 339-6141
(626) 858-0439
Mailing address
453 E ARROW HWY, STE E, AZUSA, CA 91702-5612
(626) 339-6141
(626) 858-0439
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY47593
CA
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2094123
PK
—
05
—
PHA475930
—
CA
Enumeration date
10/05/2006
Last updated
03/30/2015
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