Organization
A & R PHARMACY INC
Active
Other names
MOULTON PLAZA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
AMIT HASOLKAR (PHARMACIST IN CHARGE)
(949) 768-3784
Entity
Organization
Contact information
Practice address
23665 MOULTON PKWY, STE A, LAGUNA HILLS, CA 92653-1937
(949) 768-3784
(949) 768-1359
Mailing address
23665 MOULTON PKWY, STE A, LAGUNA HILLS, CA 92653-1937
(949) 768-3784
(949) 768-1359
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY47488
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1998352
PK
—
Enumeration date
08/14/2006
Last updated
07/17/2013
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