Organization
CBC PROFESSIONAL PHARMACY INC
Active
Other names
CBC Plaza Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MARLA L FREED (PRESIDENT)
(909) 982-4843
Entity
Organization
Contact information
Practice address
1818 N ORANGE GROVE AVE, SUITE 100, POMONA, CA 91767-3028
(909) 623-0623
(909) 622-1732
Mailing address
2095 W ARROW RTE, UPLAND, CA 91786-4210
(909) 982-4843
(909) 982-4967
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0598649
BABO#
—
05
—
PHA358360
—
CA
Enumeration date
08/15/2005
Last updated
08/22/2020
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