Organization
BRISTOL DRUG CO INC
Active
Other names
Artesia Medical Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LIM (OWNER)
(909) 623-0551
Entity
Organization
Contact information
Practice address
160 E ARTESIA ST STE 135, POMONA, CA 91767-2924
(909) 623-0551
(909) 865-2981
Mailing address
160 E ARTESIA ST STE 135, POMONA, CA 91767-2924
(909) 623-0551
(909) 865-2981
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY50808
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841292406
—
CA
01
—
2133748
PK
—
Enumeration date
08/12/2005
Last updated
02/23/2018
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