Provider Demographics
NPI:1225785389
Name:WEST COAST HS US PHARMACY LLC
Entity Type:Organization
Organization Name:WEST COAST HS US PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF PHARMACY OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:ZIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:GHEEWALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-337-3016
Mailing Address - Street 1:10375 RICHMOND AVE STE 700
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-4165
Mailing Address - Country:US
Mailing Address - Phone:713-337-3016
Mailing Address - Fax:713-337-2994
Practice Address - Street 1:2995 NATIONAL AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92113-2419
Practice Address - Country:US
Practice Address - Phone:619-525-1551
Practice Address - Fax:619-234-1604
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-08
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy