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Organization
WEST GROUP PHARMACEUTICAL CORP
Active
Organization
WEST GROUP PHARMACEUTICAL CORP
Active
Other names
PROCARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAU NGOC THANH PHAN RPH (PRESIDENT/PHARMACIST-IN-CHARGE)
(714) 899-1111
Entity
Organization
Contact information
Practice address
9191 WESTMINSTER AVE, GARDEN GROVE, CA 92844-2751
(714) 899-1111
(714) 890-9073
Mailing address
9191 WESTMINSTER AVE, GARDEN GROVE, CA 92844-2751
(714) 899-1111
(800) 561-3146
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
3336S0011X
Specialty Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0557631
NCPDP
CA
05
—
PHA471250
—
CA
Enumeration date
09/29/2006
Last updated
12/12/2022
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