# LTC PHARMACY VENTURES CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** STAR LTC PHARMACY SD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700660263
- **Authorized official:** YEFIM ISKHAKOV (PRESIDENT/CEO)
- **Authorized official phone:** (858) 878-4150

## Contact information

- **Practice address:** 161 E MAIN ST STE 104, EL CAJON, CA 92020-3993
- **Practice address phone:** (858) 878-4150
- **Practice address fax:** (858) 878-4152
- **Mailing address:** 161 E MAIN ST STE 104, EL CAJON, CA 92020-3993
- **Mailing address phone:** (858) 878-4150
- **Mailing address fax:** (858) 878-4152

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 08/24/2023
- **Last updated:** 02/03/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | PHY60529 | BOARD OF PHARMACY | CA |