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Prxp Of Ca LLC

Pharmacy, Community/Retail Pharmacy in Ontario, CA. Organization (NPI-2).

NPI number1154792570
StatusActive
Last updated in NPPESApr 11, 2024

Details

NPI
1154792570
Entity type
Organization (NPI-2)
Legal business name
Prxp Of Ca LLC
Organization subpart
No
Enumeration date
Oct 12, 2015
Certification date
Apr 11, 2024
Last updated
Apr 11, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail PharmacyPHY55795CAYes
3336S0011X Pharmacy, Specialty Pharmacy––

Practice location

4345 E Lowell St
Suites C And D
Ontario, CA 91761-2222

Phone 760-326-2312 · Fax 760-326-4178

Mailing address

4345 E Lowell St
Suites C & D
Ontario, CA 91761-2222

Phone 888-505-1485 · Fax 888-505-1485

Authorized official

Chris Wakefield
Corporate Manager
4124777803

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