Organization
OC PHARMACY
Active
Other names
OC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
OMEED ASKARI (DIRECTOR OF OPERATIONS)
(949) 429-5326
Entity
Organization
Contact information
Practice address
31654 RANCHO VIEJO RD, STE N, SAN JUAN CAPISTRANO, CA 92675-2773
(949) 429-5326
(949) 429-5328
Mailing address
31654 RANCHO VIEJO RD, STE N, SAN JUAN CAPISTRANO, CA 92675-2773
(800) 429-5102
(949) 429-2308
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
49085
CA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1129638
—
CA
01
—
2113811
PK
—
05
—
49085
—
CA
Enumeration date
07/18/2008
Last updated
04/06/2017
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