# QUALITY DRUG LONG TERM CARE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972682649
- **Authorized official:** GEORGE KOIXVER PHRMD (VP PHRM)
- **Authorized official phone:** (949) 673-1996

## Contact information

- **Practice address:** 3471 VIA LIDO, STE 211, NEWPORT BEACH, CA 92663-3912
- **Practice address phone:** (949) 673-1996
- **Practice address fax:** (949) 673-1937
- **Mailing address:** 3471 VIA LIDO, STE 211, NEWPORT BEACH, CA 92663-3912

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | PHY47100 | CA | Yes |

## Other

- **Enumeration date:** 11/03/2006
- **Last updated:** 08/30/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 5615565 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |