Organization
CHOC CLINIC PHARMACY
Active
Organization
CHOC CLINIC PHARMACY
Active
Parent organization
CHILDREN'S HOSPITAL OF ORANGE COUNTY
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHILDREN'S HOSPITAL OF ORANGE COUNTY
Authorized official
MRS. KERRI RUPPERT SCHILLER (CHIEF FINANCIAL OFFICER)
(714) 509-8451
Entity
Organization
Contact information
Practice address
1201 W LA VETA AVE, ORANGE, CA 92868-4203
(714) 509-8856
(714) 509-4371
Mailing address
1201 W LA VETA AVE, ORANGE, CA 92868-4203
(714) 509-8856
(714) 509-4371
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY37215
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY37215
PHARMACY LICENSE
CA
Enumeration date
12/12/2006
Last updated
03/07/2023
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