Organization
GUIDED ALLIANCE PHARMACY INC
Active
Organization
GUIDED ALLIANCE PHARMACY INC
Active
Other names
GUIDED ALLIANCE PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY MCFADDEN (PRESIDENT)
(949) 496-3906
Entity
Organization
Contact information
Practice address
27111 ALISO CREEK RD, STE 185A, ALISO VIEJO, CA 92656-3365
(949) 496-4106
(866) 210-9757
Mailing address
34145 PACIFIC COAST HWY, STE 195, DANA POINT, CA 92629-2808
(949) 496-3906
(866) 210-9757
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
53425
CA
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2113087
PK
—
Enumeration date
08/13/2007
Last updated
07/29/2015
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