Organization
HEALTHCARE MEDICAL SUPPLIES INC
Active
Other names
EZCARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
NILESH KOTADIYA (CEO /DIRECTOR)
(626) 587-0400
Entity
Organization
Contact information
Practice address
1535 W MERCED AVE, SUITE 100, WEST COVINA, CA 91790-3404
(626) 587-0400
(626) 587-0403
Mailing address
1535 W MERCED AVE, SUITE 100, WEST COVINA, CA 91790-3404
(626) 587-0400
(626) 587-0403
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
55626
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0524442
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
1114054954
—
CA
Enumeration date
02/28/2007
Last updated
02/08/2022
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