Organization
PHARMEDQUEST PHARMACY SERVICES
Active
Parent organization
PHARMEDQUEST PHARMACY SERVICES
Other names
Avita Pharmacy 1072
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHARMEDQUEST PHARMACY SERVICES
Authorized official
CARL CODY COLQUITT (CFO)
(469) 592-2011
Entity
Organization
Contact information
Practice address
26800 CROWN VALLEY PKWY STE 185, MISSION VIEJO, CA 92691-7304
(949) 364-9009
(949) 364-9002
Mailing address
10604 COURSEY BLVD, BATON ROUGE, LA 70816-4015
(714) 599-8181
(714) 599-8242
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
02/03/2022
Last updated
06/27/2024
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