Organization
CRANDALL'S MEDICAL PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT S IQAL RPH (PHARMACIST)
(909) 985-6814
Entity
Organization
Contact information
Practice address
360 E 7TH ST STE F, UPLAND, CA 91786-6701
(909) 985-6814
(909) 985-9087
Mailing address
360 E 7TH ST STE F, UPLAND, CA 91786-6701
(909) 985-6814
(909) 985-9087
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY441704
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA417040
—
CA
Enumeration date
03/16/2007
Last updated
08/22/2020
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