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CBC PROFESSIONAL PHARMACY INC NPI 1508868084


NPI Information

NPI: 1508868084
Provider Name: CBC PROFESSIONAL PHARMACY INC
Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
716 E MISSION BLVD STE B
POMONA, CA
ZIP 91766
Phone: (909) 865-2808
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CBC PROFESSIONAL PHARMACY INC is a long term care pharmacy pharmacy in Pomona, CA. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. CBC PROFESSIONAL PHARMACY INC NPI is 1508868084. The provider is registered as an organization entity type.

The provider's business location address is:

716 E MISSION BLVD STE B
POMONA, CA
ZIP 91766-203
Phone: (909) 865-2808
Fax: (909) 622-4297

The provider's authorized official is Robert L Beckstrom .
The authorized official title is Vice President and has the following contact phone number (909) 865-2808.

The enumeration date for this NPI number is 8/15/2005 and was last updated on 4/5/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336L0003XPharmacyLong Term Care PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1PHA0519061MEDICAIDCALIFORNIA
2PHA418450MEDICAIDCALIFORNIA
30519061OTHERCALIFORNIANABP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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