Organization
IHEALTH MAX
Active
Other names
Homes Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
YI LIN (OWNER / PIC)
(909) 281-1681
Entity
Organization
Contact information
Practice address
9713 BASELINE RD, RANCHO CUCAMONGA, CA 91730-1408
(909) 989-8688
(909) 989-8665
Mailing address
9713 BASELINE RD, RANCHO CUCAMONGA, CA 91730-1408
(909) 989-8688
(909) 989-8665
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY51817
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932522505
—
CA
01
—
2144733
PK
—
Enumeration date
02/01/2014
Last updated
06/16/2016
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