Organization
NORTH COAST MEDICAL PHARMACY INC
Active
Other names
NORTH COAST MEDICAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
HAMIDREZA SABOURI (CFO)
(760) 943-1191
Entity
Organization
Contact information
Practice address
477 N EL CAMINO REAL, STE B101, ENCINITAS, CA 92024-1328
(760) 943-1191
(760) 943-8328
Mailing address
PO BOX 230968, ENCINITAS, CA 92023-0968
(760) 943-1191
(760) 943-8328
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY48341
CA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1998439
PK
—
05
—
PHA341830
—
CA
05
—
PHA483410
—
CA
Enumeration date
08/20/2006
Last updated
12/11/2015
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