Organization
NEW CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIROLOS ANDRAWOS (DIRECTOR)
(626) 383-5711
Entity
Organization
Contact information
Practice address
12384 PALMDALE RD STE 105, VICTORVILLE, CA 92392-8506
(626) 383-5711
Mailing address
6825 SAN RAFAEL CT, FONTANA, CA 92336-5064
(626) 383-5711
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336I0012X
Institutional Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
03/01/2022
Last updated
03/02/2022
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