Organization
NKS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT CANTORIA (CEO AND PRESIDENT)
(909) 628-2023
Entity
Organization
Contact information
Practice address
14182 CENTRAL AVE, STE E, CHINO, CA 91710-5765
(909) 628-2023
(909) 628-7973
Mailing address
14182 CENTRAL AVE, STE E, CHINO, CA 91710-5765
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY41739
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0568735
OTHER ID NUMBER
—
05
—
PHA417390
—
CA
Enumeration date
11/07/2006
Last updated
01/23/2008
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