# EGYPTIAN INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** TruCare Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407256720
- **Authorized official:** MINA KOLTA (RPH OWNER)
- **Authorized official phone:** (951) 817-1005

## Contact information

- **Practice address:** 1875 CALIFORNIA AVE, CORONA, CA 92881-6477
- **Practice address phone:** (951) 817-1005
- **Practice address fax:** (951) 817-1020
- **Mailing address:** 1875 CALIFORNIA AVE, CORONA, CA 92881-6477
- **Mailing address phone:** (951) 817-1005
- **Mailing address fax:** (951) 817-1020

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | PHY51885 | CA | Yes |

## Other

- **Enumeration date:** 08/25/2014
- **Last updated:** 05/05/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2147466 | PK | — |
