Organization
HERBERT Y H & JEAN C N KING
Active
Other names
KINGS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN KING PHARMD (PHARM)
(909) 982-1778
Entity
Organization
Contact information
Practice address
1060 E FOOTHILL BLVD, STE 101, UPLAND, CA 91786-4027
(909) 982-1778
(909) 981-3418
Mailing address
1060 E FOOTHILL BLVD, STE 101, UPLAND, CA 91786-4027
(909) 982-1778
(909) 981-3418
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY34972
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0502181
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
PHA349720
—
CA
Enumeration date
12/28/2006
Last updated
12/07/2010
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