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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