# HEALTH QUEST PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BK PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679654719
- **Authorized official:** MR. MICHAEL STEPHEN KYLE (PRESIDENT)
- **Authorized official phone:** (805) 489-0888

## Contact information

- **Practice address:** 911 OAK PARK BLVD, \#101, PISMO BEACH, CA 93449
- **Practice address phone:** (805) 489-0888
- **Practice address fax:** (805) 489-0288
- **Mailing address:** 911 OAK PARK BLVD, \#101, PISMO BEACH, CA 93449
- **Mailing address phone:** (805) 489-0888
- **Mailing address fax:** (805) 489-0288

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | PHY47165 | CA | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | PHY50613 | CA | — |
| 333600000X | Pharmacy | PHY47165 | CA | — |
| 3336C0003X | Community/Retail Pharmacy | PHY47165 | CA | — |
| 3336C0003X | Community/Retail Pharmacy | PHY50613 | CA | — |
| 3336L0003X | Long Term Care Pharmacy | PHY47165 | CA | — |
| 3336L0003X | Long Term Care Pharmacy | PHY50613 | CA | Yes |

## Other

- **Enumeration date:** 10/17/2006
- **Last updated:** 08/11/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1679654719 | — | CA |