Organization · NPI-2

Cda Clinical Pharmacy Corporation

Pharmacy, Community/Retail Pharmacy · Moreno Valley, CA

NPI number1649655457
StatusActive
Last updated in NPPESJul 28, 2015

Details

NPI
1649655457
Entity type
Organization (NPI-2)
Legal business name
Cda Clinical Pharmacy Corporation
Organization subpart
No
Enumeration date
Jul 22, 2015
Last updated
Jul 28, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail PharmacyPHY 53298CAYes

Other names

  • Cda Clinical Pharmacy (Doing Business As)

Practice location

11441 Heacock St
Ste D
Moreno Valley, CA 92557-7907

Phone 951-242-2540 · Fax 951-242-1490

Mailing address

11441 Heacock St
Ste D
Moreno Valley, CA 92557-7907

Phone 951-242-2540 · Fax 951-242-1490

Authorized official

Amelia Grace Padilla
Ceo/Rph
9512422540

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