Provider Demographics
NPI:1700668274
Name:ALL WESTCARE PHARMACY LLC
Entity Type:Organization
Organization Name:ALL WESTCARE PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TASHIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHANAN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:714-924-2800
Mailing Address - Street 1:2401 S EASTERN AVE.
Mailing Address - Street 2:SUITE 2411
Mailing Address - City:LAS
Mailing Address - State:NV
Mailing Address - Zip Code:89104
Mailing Address - Country:US
Mailing Address - Phone:702-629-2212
Mailing Address - Fax:702-629-1866
Practice Address - Street 1:2401 S EASTERN AVE.
Practice Address - Street 2:SUITE 2411
Practice Address - City:LAS
Practice Address - State:NV
Practice Address - Zip Code:89104
Practice Address - Country:US
Practice Address - Phone:702-629-2212
Practice Address - Fax:702-629-1866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-18
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy