Heman G. Stark Youth Training School Pharmacy | |
15180 Euclid Ave Chino CA 91710-9148 | |
(909) 606-5000 | |
(909) 606-5075 |
Full Name | Heman G. Stark Youth Training School Pharmacy |
---|---|
Speciality | Psychiatric Unit |
Location | 15180 Euclid Ave, Chino, California |
Authorized Official Name and Position | Giao Ngoc Hoang (PHARMACIST II) |
Authorized Official Contact | 9096065000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Heman G. Stark Youth Training School Pharmacy 15180 Euclid Ave Chino CA 91710-9148 Ph: (909) 606-5000 | Heman G. Stark Youth Training School Pharmacy 15180 Euclid Ave Chino CA 91710-9148 Ph: (909) 606-5000 |
NPI Number | 1538352661 |
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Provider Enumeration Date | 08/22/2007 |
Last Update Date | 08/22/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538352661 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
273R00000X | Psychiatric Unit | HPE 36930 (California) | Primary |
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