Organization
JC MAX PHARMACY INC
Active
Other names
ABC Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TONY CHAN PHARMD (OWNER)
(909) 946-5512
Entity
Organization
Contact information
Practice address
826 E FOOTHILL BLVD, RIALTO, CA 92376-5230
(909) 546-1000
(909) 546-1010
Mailing address
826 E FOOTHILL BLVD, RIALTO, CA 92376-5230
(909) 546-1000
(909) 546-1010
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY49030
CA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2117523
PK
—
Enumeration date
10/22/2008
Last updated
05/20/2020
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