Organization
AMERICAN HEALTHCARE AND PHARMACY INC
Active
Other names
COLTON PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
HEJALIN PATEL (PRESIDENT/OWNER)
(909) 422-0444
Entity
Organization
Contact information
Practice address
518 W VALLEY BLVD, COLTON, CA 92324-2249
(909) 422-0444
(909) 422-0459
Mailing address
518 W VALLEY BLVD, COLTON, CA 92324-2249
(909) 422-0444
(909) 422-0459
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY55977
CA
3336C0003X
Community/Retail Pharmacy
Primary
PHY55977
CA
3336L0003X
Long Term Care Pharmacy
PHY55977
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467444059
—
CA
01
—
55977
BOARD OF PHARMACY PERMIT
CA
Enumeration date
08/18/2005
Last updated
01/04/2018
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