Grove Harbor Medical Center Pharmacy
LBN: Socal Pharmacy Llc
Grove Harbor Medical Center Pharmacy is an health care organization with primary practice located at 12555 Garden Grove Blvd Ste 102 , Garden Grove CA 92843-1903. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty.
Socal Pharmacy Llc can be contacted via phone (714) 636-0593, or through Tavakkoli Isfahani, Seid Amir Farzan via phone (256) 797-2552.
Contact Information
Primary practice address
12555 Garden Grove Blvd Ste 102
Garden Grove CA 92843-1903
Phone: (714) 636-0593
Fax: (714) 636-7708
Website:
Authorized official contact:
Name: Tavakkoli Isfahani, Seid Amir Farzan PHARMD
Phone: (256) 797-2552
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1033744230 |
|---|---|
| LBN Legal business name | Socal Pharmacy Llc |
| DBA Doing business as | Grove Harbor Medical Center Pharmacy |
| Authorized official | Tavakkoli Isfahani, Seid Amir Farzan PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 8th, 2020 |
| Last updated | Dec 8th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033744230 | NPPES |
| California | MEDICAID | 1649713777 |
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