Organization
LOMA LINDA PHARMACY INC
Active
Other names
LOMA LINDA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LOUELA SCANLAN (MANAGER)
(909) 796-8308
Entity
Organization
Contact information
Practice address
25620 BARTON RD, LOMA LINDA, CA 92354-3110
(909) 796-8308
(909) 786-3048
Mailing address
25620 BARTON RD, LOMA LINDA, CA 92354-3110
(909) 796-8308
(909) 786-3048
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY44306
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2002451
PK
—
Enumeration date
08/10/2006
Last updated
02/20/2017
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