Organization
UNICARE CALI HEALTH INC
Active
Other names
Global Speciality Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GOPAL SOJITRA PHARM D (SECRETARY/PHARMACIST)
(909) 317-3100
Entity
Organization
Contact information
Practice address
930 S MOUNT VERNON AVE STE 100, COLTON, CA 92324-3928
(909) 317-3100
(909) 317-3101
Mailing address
930 S MOUNT VERNON AVE STE 100, COLTON, CA 92324-3928
(909) 317-3100
(909) 317-3101
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY45319
CA
3336L0003X
Long Term Care Pharmacy
Primary
PHY45319
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0596683
NCPDP NUMBER
—
05
—
PHA453190
—
CA
Enumeration date
12/02/2005
Last updated
05/15/2019
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