Organization
WESTERN PHARMACY GROUP LLC
Active
Parent organization
WESTERN PHARMACY GROUP LLC
Other names
Medical Center Pharmacy LTC
Organization subpart
Yes
Provider details
NPI number
Legal business name
WESTERN PHARMACY GROUP LLC
Authorized official
KEVIN FARIS RPH (CEO)
(360) 685-4282
Entity
Organization
Contact information
Practice address
610 GATEWAY CENTER WAY STE H-I, SAN DIEGO, CA 92102-4533
(360) 685-4263
Mailing address
851 COHO WAY STE 312, BELLINGHAM, WA 98225-2066
(360) 685-4263
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
11/13/2019
Last updated
11/13/2019
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