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Formosa Health Corp
Long Term Care Pharmacy in Fontana, California
NPI 1639180128

Formosa Health Corp is a Long Term Care Pharmacy based in Fontana, CA and is specialized in Long Term Care Pharmacy. Formosa Health Corp practices in Fontana, CA. The NPI Number for Formosa Health Corp is 1639180128 and holds a License No. (California).

The current practice location address for Formosa Health Corp is 13451 Baseline Ave, Fontana, CA and can be reached out via phone at 909-463-4631 and via fax at 909-463-0945.

Location: 13451 Baseline Ave, Fontana, CA, 92336-5472
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639180128
Provider Name
Formosa Health Corp
Credential
Provider Entity Type
Organization
Address
13451 Baseline Ave, Fontana, CA, 92336-5472
Phone Number
909-463-4631
Fax Number
909-463-0945
Provider Enumeration Date
08/10/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2004919 01 PK
PHA458770 05 CA
institution
Provider Business Practice Location Address Details
Address
13451 Baseline Ave
City
Fontana
State
California
Zip
92336-5472
Phone Number
909-463-4631
Fax Number
909-463-0945
person
Provider Business Mailing Address Details
Address
13451 Baseline Ave
City
Fontana
State
California
Zip
92336-5472
Phone Number
909-463-4631
Fax Number
909-463-0945
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
PHY45877 (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 3
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
()
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
person
Provider's Taxonomy Details 4
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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