Organization
UNIVERSITY OF CALIFORNIA IRVINE
Active
Parent organization
UNIVERSITY OF CALIFORNIA IRVINE
Other names
UCI FAMILY HEALTH CENTER PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF CALIFORNIA IRVINE
Authorized official
GINA CHURCHILL (REIMBURSEMENT DIRECTOR)
(714) 509-6266
Entity
Organization
Contact information
Practice address
800 N MAIN ST, SANTA ANA, CA 92701-3576
(714) 456-6785
Mailing address
1500 S DOUGLASS RD #200, RT 183, ANAHEIM, CA 92806-6912
(714) 509-6266
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
EXEMPT
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0564028
S.A. NABP#
CA
05
—
PHA413170
—
CA
Enumeration date
07/26/2006
Last updated
11/04/2019
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