Provider Demographics
NPI:1538201363
Name:ARROWHEAD REGIONAL MEDICAL CENTER PHARMACY
Entity type:Organization
Organization Name:ARROWHEAD REGIONAL MEDICAL CENTER PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PHARMACY
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:G
Authorized Official - Last Name:LOWE
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:909-580-0016
Mailing Address - Street 1:400 N PEPPER AVE
Mailing Address - Street 2:ROOM GC-300
Mailing Address - City:COLTON
Mailing Address - State:CA
Mailing Address - Zip Code:92324-1801
Mailing Address - Country:US
Mailing Address - Phone:909-580-0016
Mailing Address - Fax:909-580-1033
Practice Address - Street 1:400 N PEPPER AVE
Practice Address - Street 2:ROOM GC-300
Practice Address - City:COLTON
Practice Address - State:CA
Practice Address - Zip Code:92324-1801
Practice Address - Country:US
Practice Address - Phone:909-580-0016
Practice Address - Fax:909-580-1033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-12
Last Update Date:2008-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy