Organization
NASIBADARA, INC
Active
Parent organization
NASIBADARA, INC
Other names
LTC Solutions Rx
Organization subpart
Yes
Provider details
NPI number
Legal business name
NASIBADARA, INC
Authorized official
MR. STEWART EDINGTON (VICE PRESIDENT)
(954) 818-6813
Entity
Organization
Contact information
Practice address
23665 MOULTON PKWY STE B, LAGUNA HILLS, CA 92653-1937
(949) 586-3664
(949) 580-1723
Mailing address
23665 MOULTON PKWY STE B, LAGUNA HILLS, CA 92653-1937
(949) 586-3664
(949) 580-1723
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
PHY55801
CA
Other
Enumeration date
07/26/2018
Last updated
07/26/2018
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