Organization
ECONO DRUGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK CHAN (PRESIDENT)
(909) 802-8868
Entity
Organization
Contact information
Practice address
9713 BASELINE RD, RANCHO CUCAMONGA, CA 91730-1408
(909) 948-2700
(909) 948-2703
Mailing address
9713 BASELINE RD, RANCHO CUCAMONGA, CA 91730-1408
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY38295
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0505567
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
PHA382950
—
CA
Enumeration date
03/20/2007
Last updated
09/12/2007
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