Organization
HEALTH QUEST PHARMACY INC
Active
Other names
BK PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL STEPHEN KYLE (PRESIDENT)
(805) 489-0888
Entity
Organization
Contact information
Practice address
911 OAK PARK BLVD, #101, PISMO BEACH, CA 93449
(805) 489-0888
(805) 489-0288
Mailing address
911 OAK PARK BLVD, #101, PISMO BEACH, CA 93449
(805) 489-0888
(805) 489-0288
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PHY47165
CA
332B00000X
Durable Medical Equipment & Medical Supplies
PHY50613
CA
333600000X
Pharmacy
PHY47165
CA
3336C0003X
Community/Retail Pharmacy
PHY47165
CA
3336C0003X
Community/Retail Pharmacy
PHY50613
CA
3336L0003X
Long Term Care Pharmacy
PHY47165
CA
3336L0003X
Long Term Care Pharmacy
Primary
PHY50613
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679654719
—
CA
Enumeration date
10/17/2006
Last updated
08/11/2011
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