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NPI Code Detail

MEDICARE: CHINO HILLS PROFESSIONAL PHARMACY INC

MEDICARE: CHINO HILLS PROFESSIONAL PHARMACY INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336L0003XLong Term Care Pharmacy
2333600000XPharmacy
33336C0003XCommunity/Retail PharmacyPHY46559CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22120897OTHERPK

General Provider Information

NPI Number : 1972514479
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHINO HILLS PROFESSIONAL PHARMACY INC
Provider Business Mailing Address
First Line : 2140 GRAND AVE
Second Line : STE 130
City : CHINO HILLS
State : CA
Zip : 91709-6800
Country : US
Telephone Number : 909-364-9244
Fax Number : 909-364-9222
Provider Business Practice Location Address
First Line : 2140 GRAND AVE
Second Line : STE 130
City : CHINO HILLS
State : CA
Zip : 91709-6800
Country : US
Telephone Number : 909-364-9244
Fax Number : 909-364-9222
Authorized Official
Title or Position : PRESIDENT
Name : NITIN PATEL
Credential :
Telephone Number : 909-364-9244
Provider Enumeration Date : 08/10/2006
Last Update Date : 04/12/2017

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Directions to “CHINO HILLS PROFESSIONAL PHARMACY INC ” Practice Location

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