OrganizationActive
Active Care Pharmacy Inc
NPI 1477061745 · Long Term Care Pharmacy · Fountain Valley, CA
Provider details
- NPI number
- 1477061745
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Authorized official
- Tyrone Nguyen, Ceo/Owner
- License
- 55862 (CA)
Practice location
11770 Warner Ave Ste 101
Fountain Valley, CA 92708-2659
Phone: (714) 733-7930
Fax: (714) 951-9333
Mailing address
11770 Warner Ave Ste 101
Fountain Valley, CA 92708-2659
Registry dates
- Enumerated
- 2018-01-19
- Last updated
- 2025-11-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.