Provider Demographics
NPI:1619355500
Name:ANAHEIM CARE PHARMACY INC
Entity Type:Organization
Organization Name:ANAHEIM CARE PHARMACY INC
Other - Org Name:ANAHEIM PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ARUN
Authorized Official - Middle Name:
Authorized Official - Last Name:PASRICHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:657-666-0628
Mailing Address - Street 1:1020 S ANAHEIM BLVD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92805-5851
Mailing Address - Country:US
Mailing Address - Phone:714-844-2592
Mailing Address - Fax:714-844-2593
Practice Address - Street 1:1020 S ANAHEIM BLVD
Practice Address - Street 2:SUITE 106
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92805-5851
Practice Address - Country:US
Practice Address - Phone:714-844-2592
Practice Address - Fax:714-844-2593
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-11
Last Update Date:2020-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHY555173336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPHY 55517OtherBOARD OF PHARMACY PERMIT
CA56-55595OtherNCPDP