BRIAN FONTAINE KEYS
Organization (NPI-2)
Active
Pharmacy, Community/Retail Pharmacy
Provider Information
- NPI Number
1184736001- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 4510 BROCKTON AVE STE 107 STE 107, RIVERSIDE, CA, 925014020
- Phone
- (951) 683-1200
- Fax
- (951) 683-8078
Specialties & Taxonomies
Pharmacy, Compounding Pharmacy
Pharmacy
Pharmacy, Community/Retail Pharmacy
Primary License: CA #PHY22224