Provider Demographics
NPI:1578630836
Name:CLINICAL PHARMACIES INC
Entity Type:Organization
Organization Name:CLINICAL PHARMACIES INC
Other - Org Name:C P MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CARL
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:GRODACH
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:714-969-6818
Mailing Address - Street 1:21622 SURVEYOR CIR
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92646-7068
Mailing Address - Country:US
Mailing Address - Phone:714-969-6818
Mailing Address - Fax:714-969-2320
Practice Address - Street 1:21622 SURVEYOR CIR
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92646-7068
Practice Address - Country:US
Practice Address - Phone:714-969-6818
Practice Address - Fax:714-969-2320
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAW1511332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies