Organization
HARBOR DRUG COMPANY INC
Active
Other names
STEVEN'S PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES BONNER (PRESIDENT)
(714) 540-8911
Entity
Organization
Contact information
Practice address
1525 MESA VERDE DR E, COSTA MESA, CA 92626-5218
(714) 540-8911
(714) 435-0261
Mailing address
1525 MESA VERDE DR E, COSTA MESA, CA 92626-5218
(877) 540-4748
(801) 716-4872
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY37415
CA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000044
PK
—
05
—
PHA374150
—
CA
Enumeration date
08/31/2006
Last updated
09/25/2013
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