# NASIBADARA, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NASIBADARA, INC
- **Other names:** LTC Solutions Rx
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1134606767
- **Legal business name:** NASIBADARA, INC
- **Authorized official:** MR. STEWART EDINGTON (VICE PRESIDENT)
- **Authorized official phone:** (954) 818-6813

## Contact information

- **Practice address:** 23665 MOULTON PKWY STE B, LAGUNA HILLS, CA 92653-1937
- **Practice address phone:** (949) 586-3664
- **Practice address fax:** (949) 580-1723
- **Mailing address:** 23665 MOULTON PKWY STE B, LAGUNA HILLS, CA 92653-1937
- **Mailing address phone:** (949) 586-3664
- **Mailing address fax:** (949) 580-1723

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | PHY55801 | CA | Yes |

## Other

- **Enumeration date:** 07/26/2018
- **Last updated:** 07/26/2018