Organization
PAS SPECIALTY PHARMACY SERVICES
Active
Organization
PAS SPECIALTY PHARMACY SERVICES
Active
Other names
PAS Specialty Pharmacy Services
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN NAGENGAST (CEO)
(805) 556-5137
Entity
Organization
Contact information
Practice address
60 RANCHO RD STE 7, THOUSAND OAKS, CA 91362-6000
(805) 379-9200
(805) 379-3900
Mailing address
60 RANCHO RD STE 7, THOUSAND OAKS, CA 91362-6000
(805) 379-9200
(805) 379-3900
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
PHY50915
CA
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2136484
PK
—
Enumeration date
08/16/2012
Last updated
01/21/2016
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