# C&A MEDICAL 1

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

## Provider details

- **NPI number:** 1720313257
- **Authorized official:** MARYAM SHARAFSALEH (PRESIDENT)
- **Authorized official phone:** (760) 212-2761

## Contact information

- **Practice address:** 22642 LAMBERT ST STE 404, LAKE FOREST, CA 92630-1645
- **Practice address phone:** (949) 347-8881
- **Practice address fax:** (949) 347-8886
- **Mailing address:** 22642 LAMBERT ST, SUITE 404, LAKE FOREST, CA 92630-1610
- **Mailing address phone:** (949) 347-8881
- **Mailing address fax:** (949) 347-8886

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 49911 | CA | Yes |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 10/16/2009
- **Last updated:** 11/06/2013