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Organization

ARROWMED LIMITED PARTNERSHIP

Active
Other names
ARROWMED PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
BERLINDA PHOMMALAYHANE (OWNER)
(909) 476-1992
Entity
Organization

Contact information

Practice address
9057 ARROW RTE, 170 C, RANCHO CUCAMONGA, CA 91730-4452
(909) 476-1992
(909) 476-7747
Mailing address
9057 ARROW RTE, 170 C, RANCHO CUCAMONGA, CA 91730-4452

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
PHY47175
CA
3336L0003X
Long Term Care Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5617533
OTHER ID NUMBER
Enumeration date
07/09/2006
Last updated
10/11/2007
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