# WESTERN PHARMACY GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WESTERN PHARMACY GROUP LLC
- **Other names:** Medical Center Pharmacy LTC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1265077283
- **Legal business name:** WESTERN PHARMACY GROUP LLC
- **Authorized official:** KEVIN FARIS RPH (CEO)
- **Authorized official phone:** (360) 685-4282

## Contact information

- **Practice address:** 610 GATEWAY CENTER WAY STE H-I, SAN DIEGO, CA 92102-4533
- **Practice address phone:** (360) 685-4263
- **Mailing address:** 851 COHO WAY STE 312, BELLINGHAM, WA 98225-2066
- **Mailing address phone:** (360) 685-4263

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 11/13/2019
- **Last updated:** 11/13/2019