Organization
GUARDIAN HOSPICE INC
Active
Other names
Guardian Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW STEPANSKY (PRESIDENT)
(818) 517-5546
Entity
Organization
Contact information
Practice address
1527 W 13TH ST, STE E, UPLAND, CA 91786-2985
(909) 920-1192
(909) 920-1197
Mailing address
1527 W 13TH ST, STE E, UPLAND, CA 91786-2985
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
PHY49281
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5626645
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/25/2007
Last updated
06/05/2009
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