Registry details
Type
Individual
Primary specialty
Pharmacist
Enumerated
Jul 22, 2024
License(s)
89355 (CA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 3811 TOPAZ LN | La Verne, CA 91750-2648 | 909-282-9768 |
| LOCATION | 3811 TOPAZ LN | La Verne, CA 91750-2648 | 909-282-9768 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.