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Organization

SOCAL PHARMACY LLC

Active
Other names
Grove Harbor Medical Center Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL GERARD ZEGLINSKI (CEO)
(714) 706-9030
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
PO BOX 3055, HUNTINGTON BEACH, CA 92605-3055
(714) 706-9030

Taxonomy

Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1649713777
CA
01
PHY59248
BOP
CA
Enumeration date
06/04/2026
Last updated
06/04/2026
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