Organization
MOUNTAIN HEALTHCARE INC
Active
Other names
986 Pharmacy #8031
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE PATEL (CEO)
(909) 337-0747
Entity
Organization
Contact information
Practice address
29099 HOSPITAL RD, STE 101, LAKE ARROWHEAD, CA 92352
(909) 337-0747
(909) 337-9195
Mailing address
PO BOX 2527, LAKE ARROWHEAD, CA 92352-2527
(909) 337-0747
(909) 337-9195
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CA59529
BOARD OF PHARMACY
CA
Enumeration date
11/09/2006
Last updated
09/26/2024
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