Organization
BRISTOL DRUG CO INC
Active
Other names
Orange Grove Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LIM (OWNER)
(909) 623-6429
Entity
Organization
Contact information
Practice address
1770 N ORANGE GROVE AVE STE 100, POMONA, CA 91767-3027
(909) 623-6429
(909) 623-3539
Mailing address
1770 N ORANGE GROVE AVE STE 100, POMONA, CA 91767-3027
(909) 623-6429
(909) 623-3539
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY50805
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922000546
—
CA
01
—
2133858
PK
—
Enumeration date
08/12/2005
Last updated
09/19/2025
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