Organization
PROMISE HEALTH INC
Active
Other names
Procare Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BHAVIK RAVJIBHAI NASHIT (DIRECTOR/PHARMACY MANAGER)
(909) 990-3000
Entity
Organization
Contact information
Practice address
18671 VALLEY BLVD UNIT B, BLOOMINGTON, CA 92316-1831
(909) 990-3000
(909) 990-3003
Mailing address
18671 VALLEY BLVD UNIT B, BLOOMINGTON, CA 92316-1831
(909) 990-3000
(909) 990-3003
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0534784
NCPDP
CA
01
—
57338
BOARD OF PHARMACY LICENSE NUMBER
CA
Enumeration date
09/22/2006
Last updated
01/26/2022
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