| NPI | 1679930069 |
|---|---|
| Doing Business As | BLUE COAST PHARMACY AND COMPOUNDING CENTER |
| Entity Type | Organization |
| Authorized Contact | STEPHANE LY Pharmacist 714-465-9334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA 53786) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2016-01-15 |
| Last Update Date | 2016-11-16 |