Organization
UNIVERSITY OF CALIFORNIA IRVINE
Active
Other names
Outpatient Pharmacy - UC Irvine Health
Organization subpart
No
Provider details
NPI number
Authorized official
GINA CHURCHILL (REIMBURSEMENT DIRECTOR)
(714) 509-6266
Entity
Organization
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-6604
(714) 509-2200
Mailing address
1500 S DOUGLASS RD #200, RT 183, AHANEIM, CA 92806-6912
(714) 509-6266
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
PHE55487
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2066998
PK
—
05
—
PHB22716
—
CA
Enumeration date
07/14/2006
Last updated
03/03/2021
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