Organization
NATICO INC
Active
Other names
EXCELCARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PHUONG NGUYEN RPH (PRESIDENT)
(714) 554-1111
Entity
Organization
Contact information
Practice address
12526 WESTMINSTER AVE, STE B, SANTA ANA, CA 92706-2166
(714) 554-1111
(714) 554-7777
Mailing address
12526 WESTMINSTER AVE, STE B, SANTA ANA, CA 92706-2166
(714) 554-1111
(714) 554-7777
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHY46902
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5626621
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
PHA 469020
—
CA
Enumeration date
02/08/2007
Last updated
03/20/2015
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