Organization
LOMA LINDA UNIVERSITY COMMUNITY PHARMACY
Active
Other names
LOMA LINDA UNIVERSITY COMM PHCY
Organization subpart
No
Provider details
NPI number
Authorized official
MONIQUE MOORE (PHARMACY MANAGER)
(909) 558-6447
Entity
Organization
Contact information
Practice address
25455 BARTON RD, STE 111 A, LOMA LINDA, CA 92354-3128
(909) 558-6447
(909) 558-6155
Mailing address
25455 BARTON RD, STE 111 A, LOMA LINDA, CA 92354-3128
(909) 558-6447
(909) 558-6155
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
Primary
PHY44526
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1997126
PK
—
05
—
PHA445260
—
CA
Enumeration date
09/12/2006
Last updated
09/30/2013
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