Organization
RANCHO HAVEN CARE LLC
Active
Other names
Haven Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
GOPAL D SOJITRA RPH (MEMBER/MANAGER)
(909) 989-2899
Entity
Organization
Contact information
Practice address
9170 HAVEN AVE STE 122, RANCHO CUCAMONGA, CA 91730-5416
(909) 989-2899
(909) 945-5443
Mailing address
9170 HAVEN AVE STE 122, RANCHO CUCAMONGA, CA 91730-5416
(909) 989-2899
(909) 945-5443
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
10/04/2024
Last updated
10/04/2024
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