Organization
REDLANDS PHARMACY INC
Active
Other names
REDLANDS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KEN CHU PHARM.D. (PRESIDENT)
(909) 792-8118
Entity
Organization
Contact information
Practice address
245 TERRACINA BLVD STE 201, REDLANDS, CA 92373-4867
(909) 792-8118
(909) 793-7331
Mailing address
245 TERRACINA BLVD STE 201, REDLANDS, CA 92373-4867
(909) 792-8118
(909) 793-7331
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY48775
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2113323
PK
—
05
—
PHA487750
—
CA
Enumeration date
12/15/2006
Last updated
06/13/2013
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