Provider Demographics
NPI:1851913867
Name:OC REGIONAL RX CARE LLC
Entity Type:Organization
Organization Name:OC REGIONAL RX CARE LLC
Other - Org Name:REGIONS MISSION VIEJO PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ARMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:TATEVOSIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-884-3331
Mailing Address - Street 1:17011 BEACH BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92647-7421
Mailing Address - Country:US
Mailing Address - Phone:714-706-9030
Mailing Address - Fax:714-884-4775
Practice Address - Street 1:26024 ACERO # 110
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-2768
Practice Address - Country:US
Practice Address - Phone:949-755-6443
Practice Address - Fax:949-755-6453
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-13
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy