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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