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Organization

ST. JOHN'S COMMUNITY HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PETER TAWFIK (CHIEF PHARMACY OFFICER)
(615) 957-8115
Entity
Organization

Contact information

Practice address
1500 N WATERMAN AVE, SAN BERNARDINO, CA 92404-5111
(213) 226-7396
(323) 541-1445
Mailing address
808 W 58TH ST, LOS ANGELES, CA 90037-3632
(213) 226-7396
(323) 541-1445

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0002X
Clinic Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary

Other

Enumeration date
02/27/2025
Last updated
02/27/2025
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