Organization
CHINO HILLS MED-PLAZA PHARMACY INC
Active
Other names
Med-Plaza Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RAANA SIDKY (PRESIDENT/PIC)
(909) 465-6562
Entity
Organization
Contact information
Practice address
3110 CHINO AVE STE 100, CHINO HILLS, CA 91709-1294
(909) 465-6562
(909) 465-9260
Mailing address
3110 CHINO AVE, SUITE 100, CHINO HILLS, CA 91709-1211
(909) 465-6562
(909) 465-9260
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
52534
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2149787
PK
—
Enumeration date
01/12/2015
Last updated
02/27/2015
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