Organization
RALPHS GROCERY COMPANY
Active
Other names
RALPHS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KARLA LANGWORTHY (MANAGER OF PHARMACY CREDENTIALING)
(513) 698-1878
Entity
Organization
Contact information
Practice address
12835 MOUNTAIN AVE, CHINO, CA 91710-4556
(909) 548-6366
(909) 590-4406
Mailing address
1100 W ARTESIA BLVD, COMPTON, CA 90220-5108
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY47037
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2113395
PK
—
05
—
PHA470370
—
CA
Enumeration date
07/13/2006
Last updated
04/16/2014
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