Organization
SEVENTH-DAY ADVENTISTS LOMA LINDA UNIVERSITY MEDICAL CENTER, INC.
Active
Other names
Loma Linda University Community Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KERRY LYNN HEINRICH (CHIEF EXECUTIVE OFFICER)
(909) 558-4308
Entity
Organization
Contact information
Practice address
25455 BARTON RD, SUITE 111A, LOMA LINDA, CA 92354-3128
(909) 558-6447
(909) 558-6155
Mailing address
25455 BARTON RD, SUITE 111A, LOMA LINDA, CA 92354-3128
(909) 558-6447
(909) 558-6155
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY44526
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0550978
NCPDP NUMBER
CA
05
—
PHA445260
—
CA
Enumeration date
10/06/2006
Last updated
03/07/2023
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