Organization
ACTIVE CARE PHARMACY INC
Active
Other names
ACTIVE CARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
TYRONE NGUYEN (CEO/OWNER)
(714) 733-7930
Entity
Organization
Contact information
Practice address
11770 WARNER AVE STE 101, FOUNTAIN VALLEY, CA 92708-2659
(714) 733-7930
(714) 951-9333
Mailing address
11770 WARNER AVE STE 101, FOUNTAIN VALLEY, CA 92708-2659
(714) 733-7930
(714) 951-9333
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
55862
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57681
PHARMACY PERMIT
CA
Enumeration date
01/19/2018
Last updated
11/18/2025
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