Provider Demographics
NPI:1437667094
Name:INLAND EMPIRE PHARMACY SERVICES INC
Entity Type:Organization
Organization Name:INLAND EMPIRE PHARMACY SERVICES INC
Other - Org Name:ARROWCARE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NGUYEN
Authorized Official - Middle Name:DUC
Authorized Official - Last Name:DAO
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:909-881-0088
Mailing Address - Street 1:1535 E HIGHLAND AVE STE A
Mailing Address - Street 2:
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92404-4682
Mailing Address - Country:US
Mailing Address - Phone:909-881-0088
Mailing Address - Fax:
Practice Address - Street 1:1535 E HIGHLAND AVE STE A
Practice Address - Street 2:
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92404-4682
Practice Address - Country:US
Practice Address - Phone:909-881-0088
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-17
Last Update Date:2018-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy