Organization
BIG BEAR PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD LAMBERT PHARM D (CEO)
(909) 866-6612
Entity
Organization
Contact information
Practice address
41965 BIG BEAR BLVD, BIG BEAR LAKE, CA 92315-1667
(909) 886-2112
(909) 866-7142
Mailing address
PO BOX 1667, BIG BEAR LAKE, CA 92315-1667
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY39801
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0596796
OTHER ID NUMBER
—
05
—
PHA398010
—
CA
Enumeration date
09/05/2006
Last updated
08/31/2007
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