MEDICARE: LAVINA PHARMACY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336L0003X	Long Term Care Pharmacy

General Provider Information

NPI Number	:	1902754294
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAVINA PHARMACY INC

Provider Business Mailing Address
First Line	:	8251 WESTMINSTER BLVD STE 100
Second Line	:
City	:	WESTMINSTER
State	:	CA
Zip	:	92683-3370
Country	:	US
Telephone Number	:	714-379-1179
Fax Number	:	714-379-1181

Provider Business Practice Location Address
First Line	:	8251 WESTMINSTER BLVD STE 100
Second Line	:
City	:	WESTMINSTER
State	:	CA
Zip	:	92683-3370
Country	:	US
Telephone Number	:	714-379-1179
Fax Number	:	714-379-1181

Authorized Official
Title or Position	:	PHARMACIST IN CHARGE
Name	:	BILL LOC NGUYEN
Credential	:
Telephone Number	:	714-414-9475

Provider Enumeration Date	:	03/20/2026
Last Update Date	:	03/20/2026

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Directions to “LAVINA PHARMACY INC ” Practice Location

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