Crandall'S Medical Pharmacy

LBN: Crandall'S Medical Pharmacy
Crandall'S Medical Pharmacy is an health care organization with primary practice located at 360 E 7Th St Ste F , Upland CA 91786-6701. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Crandall'S Medical Pharmacy can be contacted via phone (909) 985-6814, or through Iqal, Robert S via phone (909) 985-6814.

Contact Information

Primary practice address
360 E 7Th St Ste F Upland CA 91786-6701
Phone: (909) 985-6814
Fax: (909) 985-9087
Website:
Map and Directions
Authorized official contact:
Name: Iqal, Robert S RPH
Phone: (909) 985-6814

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHY441704 California

Profile Details

NPI number 1467576538
LBN Legal business name Crandall'S Medical Pharmacy
DBA Doing business as
Authorized official Iqal, Robert S RPH
Entity Organization
Organization subpart 1 No
Enumeration date Mar 16th, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467576538 NPPES
California MEDICAID PHA417040

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