Organization
SEVENTH DAY ADVENTISTS LOMA LINDA UNIVERSITY MEDICAL CENTER, INC.
Active
Other names
Loma Linda University - Highland Springs Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KERRY LYNN HEINRICH (CHIEF EXECUTIVE OFFICER)
(909) 558-4308
Entity
Organization
Contact information
Practice address
81 HIGHLAND SPRINGS AVE, SUITE 90, BEAUMONT, CA 92223-3170
(951) 849-3378
(951) 849-3332
Mailing address
81 HIGHLAND SPRINGS AVE, SUITE 90, BEAUMONT, CA 92223-3170
(951) 849-3378
(951) 849-3332
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY50933
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5644720
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/17/2012
Last updated
06/13/2018
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