Healthcare Provider Details

I. General information

NPI: 1275453599
Provider Name (Legal Business Name): HENDRICKS PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
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 Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

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