Healthcare Provider Details

I. General information

NPI: 1487560280
Provider Name (Legal Business Name): BRIAN T GARNER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

137 HARVARD AVE
CLAREMONT CA
91711-4717
US

IV. Provider business mailing address

137 HARVARD AVE
CLAREMONT CA
91711-4717
US

V. Phone/Fax

Practice location:
  • Phone: 909-624-1611
  • Fax: 909-626-8963
Mailing address:
  • Phone: 909-624-1611
  • Fax: 909-626-8963

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: BRIAN T GARNER
Title or Position: OWNER
Credential:
Phone: 909-624-1611