Organization
QUALICARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARLYN MANIAOL (PIC)
(909) 484-2300
Entity
Organization
Contact information
Practice address
9613 ARROW RTE STE K BLDG 3, RANCHO CUCAMONGA, CA 91730-4552
(909) 484-2300
(909) 484-2332
Mailing address
9613 ARROW RTE STE K BLDG 3, RANCHO CUCAMONGA, CA 91730-4552
(909) 484-2300
(909) 484-2332
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
48361
CA
Other
Enumeration date
06/26/2007
Last updated
08/22/2020
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