Organization
CAL2000 PHARMACY INC
Active
Organization
CAL2000 PHARMACY INC
Active
Other names
VILLA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ALYSSA TAMURA (PHARMACIST AND AUTHORIZED OFFICIAL)
(909) 546-1000
Entity
Organization
Contact information
Practice address
326 E HOLT BLVD STE E, ONTARIO, CA 91761-1635
(909) 254-6911
(909) 285-9928
Mailing address
326 E HOLT BLVD, STE E, ONTARIO, CA 91761-1609
(909) 254-6911
(909) 285-9928
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
55883
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2173969
PK
—
Enumeration date
11/20/2017
Last updated
09/11/2018
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