Organization
CONTINUED CARE LTC PHARMACY LLC
Active
Other names
Continued Care LTC Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON HAGEN (GENERAL MANAGER)
(888) 277-2132
Entity
Organization
Contact information
Practice address
9320 HAZARD WAY STE B1, SAN DIEGO, CA 92123-1227
(888) 277-2132
(877) 231-6468
Mailing address
PO BOX 1350, RIVERTON, UT 84065-1350
(888) 277-2132
(877) 231-6468
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
54470
CA
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215359518
—
CA
Enumeration date
01/06/2014
Last updated
07/07/2022
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