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Organization

K-MOA HEALTHCARE, INC.

Active
Other names
K's Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DIANE KIM (SECRETARY/PIC)
(909) 591-7429
Entity
Organization

Contact information

Practice address
12582 CENTRAL AVE, CHINO, CA 91710-3507
(909) 591-7429
(909) 902-9480
Mailing address
12582 CENTRAL AVE, CHINO, CA 91710-3507
(909) 591-7429

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
55791
CA

Other

Enumeration date
08/15/2017
Last updated
07/21/2022
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