Green Valley Pharmacy LLC
Pharmacy, Community/Retail Pharmacy in Yucaipa, CA. Organization (NPI-2).
NPI number1699122002
StatusActive
Last updated in NPPESApr 12, 2022
Details
- NPI
- 1699122002
- Entity type
- Organization (NPI-2)
- Legal business name
- Green Valley Pharmacy LLC
- Organization subpart
- No
- Enumeration date
- May 17, 2016
- Certification date
- Apr 12, 2022
- Last updated
- Apr 12, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
| 333600000X | Pharmacy | 54475 | CA |
Other names
- Green Valley Pharmacy (Doing Business As)
Practice location
33733 Yucaipa Blvd Ste 1Yucaipa, CA 92399-2256
Phone 909-980-0999 · Fax 909-980-1099
Mailing address
8237 Rochester Ave Ste 120Rancho Cucamonga, CA 91730-0717
Phone 909-980-0999 · Fax 909-980-1099
Authorized official
Sylvia Moc
Owner/Cfo/Ao
9099800999
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All 8 Community/Retail Pharmacy providers in Yucaipa · All 761 providers in Yucaipa
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