Healthcare Provider Details

I. General information

NPI: 1447183975
Provider Name (Legal Business Name): SOCAL PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12555 GARDEN GROVE BLVD STE 102
GARDEN GROVE CA
92843-1903
US

IV. Provider business mailing address

PO BOX 3055
HUNTINGTON BEACH CA
92605-3055
US

V. Phone/Fax

Practice location:
  • Phone: 714-636-0593
  • Fax: 714-636-7708
Mailing address:
  • Phone: 714-706-9030
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL GERARD ZEGLINSKI
Title or Position: CEO
Credential:
Phone: 714-706-9030