Individual
DR. ANTHONY GODLEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
9310 SIERRA AVE, PHARMACY ADMINSITRATION OFFICE, FONTANA, CA 92335-5711
(909) 427-3823
(909) 427-3830
Mailing address
PO BOX 366, CRESTLINE, CA 92325-0366
(909) 427-3823
(909) 427-3830
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH 46611
CA
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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