TUSTIN HOSPITAL AND MEDICAL CENTER NPI 1578684395

NPI Information

TUSTIN HOSPITAL AND MEDICAL CENTER is a long term care pharmacy pharmacy in Tustin, 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. TUSTIN HOSPITAL AND MEDICAL CENTER NPI is 1578684395. The provider is registered as an organization entity type.
The provider Is Doing Business As Tustin Hospital And Medical Center.

The provider's business location address is:

14662 NEWPORT AVE
TUSTIN, CA
ZIP 92780-064
Phone: (714) 669-5874
Fax: (714) 669-2011

The provider's authorized official is Fareed Entezar .
The authorized official title is Pharmacy Director and has the following contact phone number (714) 669-5874.

The enumeration date for this NPI number is 4/2/2007 and was last updated on 2/18/2009.

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:

Other Identifiers

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

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