Organization
RANCHO HAVEN CARE LLC
Active
Organization
RANCHO HAVEN CARE LLC
Active
Other names
Haven Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
GOPAL D SOJITRA (CEO)
(909) 764-3060
Entity
Organization
Contact information
Practice address
9170 HAVEN AVE, STE 122, RANCHO CUCAMONGA, CA 91730-5416
(909) 989-2899
(909) 945-5443
Mailing address
9170 HAVEN AVE STE 122, RANCHO CUCAMONGA, CA 91730-5416
(909) 989-2899
(909) 945-5443
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
51991
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548514961
—
CA
01
—
2151673
PK
—
Enumeration date
11/07/2012
Last updated
11/22/2025
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