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Good Samaritan Pharmacy Inc
Long Term Care Pharmacy in San Dimas, California
NPI 1538231311

Good Samaritan Pharmacy Inc is a Long Term Care Pharmacy based in San Dimas, CA and is specialized in Long Term Care Pharmacy. Good Samaritan Pharmacy Inc practices in San Dimas, CA. The NPI Number for Good Samaritan Pharmacy Inc is 1538231311 and holds a License No. (California).

The current practice location address for Good Samaritan Pharmacy Inc is 629 W Covina Blvd, San Dimas, CA and can be reached out via phone at 909-305-0358 and via fax at 909-394-5649.

Location: 629 W Covina Blvd, San Dimas, CA, 91773-2913
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1538231311
Provider Name
Good Samaritan Pharmacy Inc
Credential
Provider Entity Type
Organization
Address
629 W Covina Blvd, San Dimas, CA, 91773-2913
Phone Number
909-305-0358
Fax Number
909-394-5649
Provider Enumeration Date
11/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2169225 01 PK
institution
Provider Business Practice Location Address Details
Address
629 W Covina Blvd
City
San Dimas
State
California
Zip
91773-2913
Phone Number
909-305-0358
Fax Number
909-394-5649
person
Provider Business Mailing Address Details
Address
629 W Covina Blvd
City
San Dimas
State
California
Zip
91773-2913
Phone Number
909-305-0358
Fax Number
909-394-5649
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
PHY55628 (California)
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
3336L0003X
License No.
()
Definition
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.
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