Organization
K C B PHARMACY INC
Active
Other names
SOUTH COAST PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ANIL C BHALODIA RPH (PIC/OWNER)
(714) 755-7002
Entity
Organization
Contact information
Practice address
3500 S BRISTOL ST STE 102, SANTA ANA, CA 92704-7319
(714) 755-7002
(714) 755-7613
Mailing address
3500 S BRISTOL ST STE 102, SANTA ANA, CA 92704-7319
(714) 755-7002
(714) 755-7613
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
53873
CA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689047284
—
CA
Enumeration date
11/04/2015
Last updated
03/27/2026
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