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PACIFIC PHARMACY GROUP NPI 1700952306


NPI Information

NPI: 1700952306
Provider Name: PACIFIC PHARMACY GROUP

Doing Business As: VALENCIA PHARMACY

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
23550 LYONS AVE
#111
NEWHALL, CA
ZIP 91321
Phone: (661) 255-7910
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PACIFIC PHARMACY GROUP is a long term care pharmacy pharmacy in Newhall, 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 for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. PACIFIC PHARMACY GROUP NPI is 1700952306. The provider is registered as an organization entity type.
The provider Is Doing Business As Valencia Pharmacy.

The provider's business location address is:

23550 LYONS AVE
#111
NEWHALL, CA
ZIP 91321
Phone: (661) 255-7910
Fax: (661) 255-7987

The provider's authorized official is Stephen Hom .
The authorized official title is Director Of Pharmacy and has the following contact phone number (949) 764-6580.

The enumeration date for this NPI number is 11/27/2006 and was last updated on 5/26/2020.


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
1332B00000XDurable Medical Equipment & Medical SuppliesPHY 48891CALIFORNIANo
23336L0003XPharmacyLong Term Care PharmacyPHY48891CALIFORNIAYes

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
10526600OTHERNCPDP
21700952306MEDICAIDCALIFORNIA

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: 11/14/2023

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