Organization
CHINO HILLS PROFESSIONAL PHARMACY INC
Active
Other names
Chino Hills Professional Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
NITIN PATEL (PRESIDENT)
(909) 364-9244
Entity
Organization
Contact information
Practice address
2140 GRAND AVE, STE 130, CHINO HILLS, CA 91709-6800
(909) 364-9244
(909) 364-9222
Mailing address
2140 GRAND AVE, STE 130, CHINO HILLS, CA 91709-6800
(909) 364-9244
(909) 364-9222
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY46559
CA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2120897
PK
—
05
—
PHA465590
—
CA
Enumeration date
08/10/2006
Last updated
04/12/2017
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