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St Mina Inc
Long Term Care Pharmacy in Fontana, California
NPI 1801290440

St Mina Inc is a Long Term Care Pharmacy based in Eastvale, CA and is specialized in Long Term Care Pharmacy. St Mina Inc practices in Fontana, CA. The NPI Number for St Mina Inc is 1801290440 and holds a License No. (California).

The current practice location address for St Mina Inc is 16701 Valley Blvd Ste E, Fontana, CA and can be reached out via phone at 909-823-2515 and via fax at 909-823-2514.

Location: 16701 Valley Blvd Ste E, Fontana, CA, 92880-0923
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1801290440
Provider Name
St Mina Inc
Credential
Provider Entity Type
Organization
Address
16701 Valley Blvd Ste E, Fontana, CA, 92880-0923
Phone Number
909-823-2515
Fax Number
909-823-2514
Provider Enumeration Date
10/10/2014
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2148250 01 PK
1801290440 05 CA
institution
Provider Business Practice Location Address Details
Address
16701 Valley Blvd Ste E
City
Fontana
State
California
Zip
92335-6696
Phone Number
909-823-2515
Fax Number
909-823-2514
person
Provider Business Mailing Address Details
Address
16701 Valley Blvd Ste E
City
Fontana
State
California
Zip
92335-6696
Phone Number
909-823-2515
Fax Number
909-823-2514
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
()
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
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
PHY52557 (California)
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 3
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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