# INTEGROCURA INC

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

## Provider details

- **NPI number:** 1649026261
- **Authorized official:** CHRISTOPHER KALDAS RPH (CFO)
- **Authorized official phone:** (626) 373-0152

## Contact information

- **Practice address:** 1009 W SAN BERNARDINO RD, COVINA, CA 91722-4106
- **Practice address phone:** (626) 209-8160
- **Practice address fax:** (626) 209-8172
- **Mailing address:** 1009 W SAN BERNARDINO RD, COVINA, CA 91722-4106
- **Mailing address phone:** (626) 209-8160
- **Mailing address fax:** (626) 209-8172

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336H0001X | Home Infusion Therapy Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 04/25/2024
- **Last updated:** 11/11/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 101926 | LSC 101926 | CA |
| 05 | — | 1851615363 | — | CA |