Organization
SOCAL PHARMACY INC
Active
Parent organization
SOCAL PHARMACY INC.
Other names
GROVE HARBOR MEDICAL CENTER PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOCAL PHARMACY INC.
Authorized official
JUDY COLEMAN MRS (BILLING MANAGER)
(714) 636-0593
Entity
Organization
Contact information
Practice address
12555 GARDEN GROVE BLVD STE 102, GARDEN GROVE, CA 92843-1903
(714) 636-0593
(714) 636-7708
Mailing address
12555 GARDEN GROVE BLVD STE 102, GARDEN GROVE, CA 92843-1903
(714) 636-0593
(714) 636-7708
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649713777
—
CA
Enumeration date
10/01/2018
Last updated
10/01/2018
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