Provider Demographics
NPI:1578791539
Name:NORTH COUNTY PATIENTS COLLECTIVE ASSOCIATION
Entity Type:Organization
Organization Name:NORTH COUNTY PATIENTS COLLECTIVE ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:DOUGLAS
Authorized Official - Last Name:GRIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-691-9100
Mailing Address - Street 1:2361 W WHITTIER BLVD
Mailing Address - Street 2:
Mailing Address - City:LA HABRA
Mailing Address - State:CA
Mailing Address - Zip Code:90631-3404
Mailing Address - Country:US
Mailing Address - Phone:562-691-9100
Mailing Address - Fax:562-691-9113
Practice Address - Street 1:2361 W WHITTIER BLVD
Practice Address - Street 2:
Practice Address - City:LA HABRA
Practice Address - State:CA
Practice Address - Zip Code:90631-3404
Practice Address - Country:US
Practice Address - Phone:562-691-9100
Practice Address - Fax:562-691-9113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-30
Last Update Date:2009-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy