Healthcare Provider Details

I. General information

NPI: 1568963312
Provider Name (Legal Business Name): PHARMEDQUEST PHARMACY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2018
Last Update Date: 06/14/2024
Certification Date: 06/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3020 SATURN ST STE 100
BREA CA
92821-6262
US

IV. Provider business mailing address

10604 COURSEY BLVD
BATON ROUGE LA
70816-4015
US

V. Phone/Fax

Practice location:
  • Phone: 877-362-9778
  • Fax: 714-364-1448
Mailing address:
  • Phone: 714-599-8181
  • Fax: 714-599-8242

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number55894
License Number StateCA

VIII. Authorized Official

Name: MS. KRISTEN GURLEY
Title or Position: VP LEGAL AFFAIRS
Credential:
Phone: 469-592-2011