# CONTINUED CARE LTC PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Continued Care LTC Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215359518
- **Authorized official:** BRANDON HAGEN (GENERAL MANAGER)
- **Authorized official phone:** (888) 277-2132

## Contact information

- **Practice address:** 9320 HAZARD WAY STE B1, SAN DIEGO, CA 92123-1227
- **Practice address phone:** (888) 277-2132
- **Practice address fax:** (877) 231-6468
- **Mailing address:** PO BOX 1350, RIVERTON, UT 84065-1350
- **Mailing address phone:** (888) 277-2132
- **Mailing address fax:** (877) 231-6468

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 54470 | CA | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 01/06/2014
- **Last updated:** 07/07/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1215359518 | — | CA |