Organization
CC CARE RX INC
Active
Other names
CC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ELHAM FALAHATI PHARM D (SECRETARY/DIRECTOR/PIC)
(661) 753-3290
Entity
Organization
Contact information
Practice address
23928 LYONS AVE STE 110, NEWHALL, CA 91321-2454
(661) 753-3290
(661) 753-3291
Mailing address
23928 LYONS AVE STE 110, NEWHALL, CA 91321-2454
(661) 753-3290
(661) 753-3291
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY59575
BOARD OF PHARMACY
CA
Enumeration date
03/21/2025
Last updated
03/21/2025
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