Organization
NEWPORT CENTER PHARMACY
Active
Other names
NEWPORT CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
NILOUFAR KHORSHID (OWNER PIC)
(949) 640-1320
Entity
Organization
Contact information
Practice address
1401 AVOCADO AVE STE 104, NEWPORT BEACH, CA 92660-8700
(949) 640-1320
(949) 640-1324
Mailing address
1401 AVOCADO AVE STE 104, NEWPORT BEACH, CA 92660-8700
(949) 640-1320
(949) 640-1324
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY46789
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1995351
PK
—
Enumeration date
11/03/2006
Last updated
02/14/2017
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