| NPI | 1578646626 |
|---|---|
| Doing Business As | NEWPORT COAST PHARMACY |
| Entity Type | Organization |
| Authorized Contact | BRIAN LYN Vice President 949-719-3707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: CA PHY48317) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 5998960001) | |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2008-06-20 |