Organization
PARTNER HEALTHCARE INC
Active
Other names
INLAND VALLEY CARE
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY CHANG (PIC)
(626) 590-6666
Entity
Organization
Contact information
Practice address
4761 ARROW HWY, MONTCLAIR, CA 91763-1209
(909) 625-2525
(909) 625-2500
Mailing address
4761 ARROW HWY, MONTCLAIR, CA 91763-1209
(909) 625-2525
(909) 625-2500
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
PHY49070
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659533735
—
CA
01
—
5630733
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/30/2008
Last updated
08/01/2011
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