Provider Demographics
NPI:1023776945
Name:WEST COAST HS US PHARMACY LLC
Entity type:Organization
Organization Name:WEST COAST HS US PHARMACY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PHARMACY OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:619-262-4373
Mailing Address - Street 1:10375 RICHMOND AVE STE 700
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-4165
Mailing Address - Country:US
Mailing Address - Phone:713-337-3016
Mailing Address - Fax:
Practice Address - Street 1:610 GATEWAY CENTER WAY STE H-I
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92102-4533
Practice Address - Country:US
Practice Address - Phone:619-630-0554
Practice Address - Fax:619-514-0005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-08
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy