Organization
DAVID ISAMI IGARASHI
Active
Other names
BALDWIN HILLS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID IGARASHI RPH (OWNER)
(909) 608-1832
Entity
Organization
Contact information
Practice address
811 E 11TH ST, SUITE 201, UPLAND, CA 91786-4871
(909) 981-8818
(909) 608-1871
Mailing address
811 E 11TH ST, SUITE 201, UPLAND, CA 91786-4871
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHY34984
CA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0595744
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
PHA349840
—
CA
Enumeration date
01/11/2007
Last updated
09/12/2007
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