Organization
C&A PHARMACEUTICAL ENTERPRISES-CA LLC
Active
Other names
South Coast Mission Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY DOWNING (OWNER)
(469) 310-1641
Entity
Organization
Contact information
Practice address
31852 PACIFIC COAST HWY, STE 103, LAGUNA BEACH, CA 92651
(949) 499-0885
(949) 499-3645
Mailing address
31852 PACIFIC COAST HWY, STE 103, LAGUNA BEACH, CA 92651
(949) 499-0885
(949) 499-3645
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
PHY53370
CA
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2155652
PK
—
Enumeration date
01/26/2007
Last updated
06/04/2020
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