Organization
CDA CLINICAL PHARMACY CORPORATION
Active
Organization
CDA CLINICAL PHARMACY CORPORATION
Active
Other names
CDA CLINICAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMELIA GRACE PADILLA (CEO/RPH)
(951) 242-2540
Entity
Organization
Contact information
Practice address
11441 HEACOCK ST, STE D, MORENO VALLEY, CA 92557-7907
(951) 242-2540
(951) 242-1490
Mailing address
11441 HEACOCK ST, STE D, MORENO VALLEY, CA 92557-7907
(951) 242-2540
(951) 242-1490
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY 53298
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY53298
CALIFORNIA STATE BOARD OF PHARMACY
CA
Enumeration date
07/22/2015
Last updated
07/28/2015
Update your record
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