Organization
BROTHERS HEALTHCARE INC
Active
Other names
Beeman's Redlands Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN SHAUGHNESSY (OWNER)
(909) 792-2300
Entity
Organization
Contact information
Practice address
11705 SLATE AVE STE 250, RIVERSIDE, CA 92505-7120
(909) 792-2300
(909) 792-7171
Mailing address
11705 SLATE AVE STE 250, RIVERSIDE, CA 92505-7120
(909) 792-2300
(909) 792-7171
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
PHY52529
CA
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659550176
—
CA
01
—
2154782
PK
—
Enumeration date
11/01/2007
Last updated
08/31/2021
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