Organization
SECURITY PHARMACY, INC
Active
Other names
Upland Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID ISAMI IGARASHI PHARM.D. (OWNER)
(909) 608-1832
Entity
Organization
Contact information
Practice address
954 W FOOTHILL BLVD STE 6D, UPLAND, CA 91786-3782
(909) 608-1832
(909) 608-1871
Mailing address
954 W FOOTHILL BLVD STE 6D, UPLAND, CA 91786-3782
(909) 608-1832
(909) 608-1871
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA445360
—
CA
Enumeration date
11/30/2006
Last updated
09/01/2024
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