Organization
BONITA DRIVE THRU PHARMACY
Active
Other names
Bonita Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL LEE (CFO)
(619) 434-5350
Entity
Organization
Contact information
Practice address
4190 BONITA RD STE 101, BONITA, CA 91902-1330
(619) 900-6002
(619) 900-6012
Mailing address
4190 BONITA RD STE 101, BONITA, CA 91902-1330
(619) 900-6002
(619) 900-6012
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
53888
CA
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2155977
PK
—
Enumeration date
02/18/2016
Last updated
11/23/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us