Organization
PHARMEDQUEST PHARMACY SERVICES
Active
Organization
PHARMEDQUEST PHARMACY SERVICES
Active
Other names
Avita Pharmacy 1025
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRISTEN GURLEY (VP LEGAL AFFAIRS)
(469) 592-2011
Entity
Organization
Contact information
Practice address
3020 SATURN ST STE 100, BREA, CA 92821-6262
(877) 362-9778
(714) 364-1448
Mailing address
10604 COURSEY BLVD, BATON ROUGE, LA 70816-4015
(714) 599-8181
(714) 599-8242
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
55894
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568963312
—
CA
01
—
2176010
PK
—
Enumeration date
02/27/2018
Last updated
06/14/2024
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