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Organization
CONTINUED CARE LTC PHARMACY LLC
Active
Organization
CONTINUED CARE LTC PHARMACY LLC
Active
Other names
Continued Care LTC Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON HAGEN (GENERAL MANAGER)
(888) 277-2132
Entity
Organization
Contact information
Practice address
9320 HAZARD WAY STE B1, SAN DIEGO, CA 92123-1227
(888) 277-2132
(877) 231-6468
Mailing address
PO BOX 1350, RIVERTON, UT 84065-1350
(888) 277-2132
(877) 231-6468
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
54470
CA
3336C0003X
Community/Retail Pharmacy
—
NULL
3336C0004X
Compounding Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215359518
—
CA
Enumeration date
01/06/2014
Last updated
07/07/2022
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