Bear Creek Pharmacy

NPI 1336150820 - Pharmacy - 333600000X

NPI Details
NPI 1336150820
Enumeration Date 08/10/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name LARRY LARRY
Position OWNER
Phone (951) 677-4880
Fax (951) 698-4392
Practice Location
36243 INLAND VALLEY DR
STE 130
WILDOMAR CA, 92595-9549, US
Phone (951) 677-4880
Fax (951) 698-4392
Business Location
36243 INLAND VALLEY DR
STE 130
WILDOMAR CA, 92595-9549, US
Phone
Fax
Toxanomy
Taxonomy Code 333600000X
License State California
License Number PHY43284
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According to our database, Bear Creek Pharmacy NPI is 1336150820, taxonomy code is 333600000X and license number is PHY43284, license state is located at California. Bear Creek Pharmacy physically located at 36243 Inland Valley Dr, Wildomar CA, 92595-9549. NPI Number 1033115704 has the healthcare provider type.

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1336150820 NPI number is provided on an as is basis without warranty of any kind. 1336150820 is maintained by the National Plan & Provider Enumeration System. The contents of Bear Creek Pharmacy are for informational purposes only.