Organization
KPS CARE INC
Active
Other names
Medical Arts Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KETAN PATEL (CFO)
(619) 461-8551
Entity
Organization
Contact information
Practice address
8851 CENTER DR, STE 110, LA MESA, CA 91942-3017
(619) 461-8551
(619) 461-8553
Mailing address
8851 CENTER DR, STE 110, LA MESA, CA 91942-3017
(619) 461-8551
(619) 461-8553
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
52528
CA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2152187
PK
—
Enumeration date
07/10/2006
Last updated
06/15/2015
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