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Organization
CEUTICARE LLC
Active
Organization
CEUTICARE LLC
Active
Other names
Regal Specialty Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY PHAM (OWNER/PHARMACY MANAGER)
(951) 817-1005
Entity
Organization
Contact information
Practice address
1875 CALIFORNIA AVE STE 101, CORONA, CA 92881-6477
(951) 817-1005
Mailing address
1875 CALIFORNIA AVE STE 101, CORONA, CA 92881-6477
(951) 817-1005
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57876
CALIFORNIA BOARD OF PHARMACY
CA
Enumeration date
01/19/2022
Last updated
01/19/2022
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