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Organization

PBC LLC

Active
Other names
SPECIALTY CARE RX
Organization subpart
No

Provider details

NPI number
Authorized official
BRENDA A BROWN (MANAGING MEMBER)
(949) 506-1300
Entity
Organization

Contact information

Practice address
801 S RANCHO DR STE D1-A, LAS VEGAS, NV 89106-3854
(702) 790-4404
Mailing address
200 E KATELLA AVE STE C, ORANGE, CA 92867-4805
(949) 506-1300
(866) 511-4654

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
3336H0001X
Home Infusion Therapy Pharmacy
Primary
3336S0011X
Specialty Pharmacy

Other

Enumeration date
05/23/2017
Last updated
11/06/2024
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