Organization
B.B.W. DRUG CORPORATION
Active
Other names
Cal-Med Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN RICHARD BRUCE PHARMD (PHARMACIST/OWNER)
(949) 586-1700
Entity
Organization
Contact information
Practice address
24031 MARGUERITE PKWY STE A, MISSION VIEJO, CA 92692-1929
(949) 586-1700
(949) 586-4683
Mailing address
24031 MARGUERITE PKWY STE A, MISSION VIEJO, CA 92692-1929
(949) 586-1700
(949) 586-4683
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY17089
CA
3336C0003X
Community/Retail Pharmacy
Primary
PHY17089
CA
3336C0004X
Compounding Pharmacy
PHY17089
CA
3336L0003X
Long Term Care Pharmacy
PHY17089
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0521523
NCPDP
—
05
—
PHA170890
—
CA
Enumeration date
09/25/2006
Last updated
07/27/2015
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