Organization
INTEGROCURA INC
Active
Other names
Owl Western Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER KALDAS RPH (CFO)
(626) 373-0152
Entity
Organization
Contact information
Practice address
1009 W SAN BERNARDINO RD, COVINA, CA 91722-4106
(626) 209-8160
(626) 209-8172
Mailing address
1009 W SAN BERNARDINO RD, COVINA, CA 91722-4106
(626) 209-8160
(626) 209-8172
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101926
LSC 101926
CA
05
—
1851615363
—
CA
Enumeration date
04/25/2024
Last updated
11/11/2024
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