Organization
SAN ANTONIO PHARMACY
Active
Organization
SAN ANTONIO PHARMACY
Active
Parent organization
SAN ANTONIO REGIONAL HOSPITAL INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAN ANTONIO REGIONAL HOSPITAL INC
Authorized official
MR. HARRIS KOENIG (PRESIDENT/CEO)
(909) 985-2811
Entity
Organization
Contact information
Practice address
255 E BONITA AVE, BUILDING 1, SUITE 102, POMONA, CA 91767-1923
(909) 962-6430
Mailing address
255 E BONITA AVE, BUILDING 1, SUITE 102, POMONA, CA 91767-1923
(909) 962-6430
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
51533
CA
Other
Enumeration date
09/16/2013
Last updated
03/07/2016
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