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SAN DIEGO COMMUNITY PHARMACY NPI 1164776191


NPI Information

NPI: 1164776191
Provider Name: SAN DIEGO COMMUNITY PHARMACY
Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
3703 CAMINO DEL RIO S STE 215B
SAN DIEGO, CA
ZIP 92108
Phone: (619) 249-8623
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SAN DIEGO COMMUNITY PHARMACY is a community/retail pharmacy pharmacy in San Diego, CA. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. SAN DIEGO COMMUNITY PHARMACY NPI is 1164776191. The provider is registered as an organization entity type.

The provider's business location address is:

3703 CAMINO DEL RIO S STE 215B
SAN DIEGO, CA
ZIP 92108-032
Phone: (619) 249-8623

The provider's authorized official is Ollen Williams .
The authorized official title is Partner and has the following contact phone number (619) 249-8623.

The enumeration date for this NPI number is 10/29/2012 and was last updated on 10/29/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
120129010027OTHERCALIFORNIACA SECRETARY OF STATE
2102302979OTHERCALIFORNIACA BOARD OF EQUALIZATION - SELLERS PERMIT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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