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MAICO PHARMACY INC NPI 1396070215


NPI Information

NPI: 1396070215
Provider Name: MAICO PHARMACY INC

Doing Business As: MAICO PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 05D2266776

Address:
10161 BOLSA AVE
STE 105B
WESTMINSTER, CA
ZIP 92683
Phone: (714) 531-7000
Get Directions

MAICO PHARMACY INC is a community/retail pharmacy pharmacy in Westminster, CA. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. MAICO PHARMACY INC NPI is 1396070215. The provider is registered as an organization entity type.
The provider Is Doing Business As Maico Pharmacy.

The provider's business location address is:

10161 BOLSA AVE
STE 105B
WESTMINSTER, CA
ZIP 92683-768
Phone: (714) 531-7000
Fax: (714) 531-7047

The provider's authorized official is Cathy Mach .
The authorized official title is President/pharmacist and has the following contact phone number (714) 531-7000.

The CLIA number assigned to this NPI record is 05D2266776 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/9/2009 and was last updated on 6/8/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyPHY50117CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12122480OTHERPK
2PHA501170MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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