# WEST GROUP PHARMACEUTICAL CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PROCARE LTC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265173165
- **Authorized official:** DR. CHAU NGOC THANH PHAN RPH (PRESIDENT/PHARMACIST-IN-CHARGE)
- **Authorized official phone:** (714) 899-1111

## Contact information

- **Practice address:** 9191 WESTMINSTER AVE, GARDEN GROVE, CA 92844-2751
- **Practice address phone:** (714) 899-1111
- **Practice address fax:** (714) 890-9073
- **Mailing address:** 9191 WESTMINSTER AVE, GARDEN GROVE, CA 92844-2751
- **Mailing address phone:** (714) 899-1111
- **Mailing address fax:** (714) 890-9073

## Taxonomy

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

## Other

- **Enumeration date:** 04/05/2022
- **Last updated:** 06/01/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | PHA471250 | — | CA |
