GOOSE PHARMA LLC NPI 1548924707

NPI Information

GOOSE PHARMA, LLC is a long term care pharmacy pharmacy in Fountain Valley, CA. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. GOOSE PHARMA, LLC NPI is 1548924707. The provider is registered as an organization entity type.

The provider's business location address is:

18049 MAGNOLIA ST
FOUNTAIN VALLEY, CA
ZIP 92708-638
Phone: (714) 587-9786
Fax: (888) 622-3871

The provider's authorized official is Jenny Dang .
The authorized official title is Pharmacist and has the following contact phone number (714) 587-9786.

The enumeration date for this NPI number is 10/25/2021 and was last updated on 10/25/2021.

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:

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