Organization
RED CHIP OF NEVADA
Active
Other names
Red Chip of Nevada Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VISHAL GANDHI PHARM D (PHARMACY MANAGER)
(949) 223-9830
Entity
Organization
Contact information
Practice address
18009 SKY PARK CIR STE F, IRVINE, CA 92614-6516
(949) 223-9830
(949) 861-7233
Mailing address
18009 SKY PARK CIR STE F, IRVINE, CA 92614-6516
(949) 223-9830
(949) 861-7233
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PHY 52012
CA
3336C0003X
Community/Retail Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
PHY52012
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2403041
—
CA
Enumeration date
11/04/2014
Last updated
01/28/2016
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