Organization
DIVINA CATALASAN
Active
Other names
QUALITY CARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DIVINA CATALASAN (OWNER)
(714) 231-0986
Entity
Organization
Contact information
Practice address
2413 S FAIRVIEW ST, STE E, SANTA ANA, CA 92704-5339
(714) 754-4567
(714) 754-6691
Mailing address
2413 S FAIRVIEW ST, STE E, SANTA ANA, CA 92704-5339
(714) 754-4567
(714) 754-6691
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PHY43441
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1996035
PK
—
05
—
PHA412670
—
CA
Enumeration date
12/26/2006
Last updated
06/21/2016
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