Organization
ARROWMED LIMITED PARTNERSHIP
Active
Other names
arrowmed pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MISS BERLINDA PHOMMALAYVANE PHARMACY TECH (CEO)
(909) 466-6701
Entity
Organization
Contact information
Practice address
9057 ARROW ROUTE, SUITE 170C, RANCHO CUCAMONGA, CA 91730-4452
(909) 476-1992
(909) 476-7747
Mailing address
9057 ARROW ROUTE, SUITE 170C, RANCHO CUCAMONGA, CA 91730-4452
(909) 476-1992
(909) 476-7747
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
PHY47175
CA
3336C0003X
Community/Retail Pharmacy
PHY47175
CA
Other
Enumeration date
02/25/2008
Last updated
07/07/2008
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