Organization
LOMA LINDA HEALTH PHARMACY
Active
Parent organization
LOMA LINDA HEALTH PHARMACY
Other names
LOMA LINDA HEALTH PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
LOMA LINDA HEALTH PHARMACY
Authorized official
SUE PARK RPH (OWNER, PIC)
(909) 796-3780
Entity
Organization
Contact information
Practice address
11382 MT. VIEW AVE, LOMA LINDA, CA 92354
(909) 796-3780
(909) 796-5783
Mailing address
11382 MT. VIEW AVE, LOMA LINDA, CA 92354
(909) 796-3780
(909) 796-5783
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2094485
PK
—
05
—
PHA394770
—
CA
Enumeration date
08/20/2006
Last updated
05/11/2023
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