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RTY PHARMACEUTICAL INC NPI 1295890473


NPI Information

NPI: 1295890473
Provider Name: RTY PHARMACEUTICAL INC

Doing Business As: BALBOA PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
6465 BALBOA AVE STE 101
SAN DIEGO, CA
ZIP 92111
Phone: (858) 278-0111
Get Directions

RTY PHARMACEUTICAL INC 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. RTY PHARMACEUTICAL INC NPI is 1295890473. The provider is registered as an organization entity type.
The provider Is Doing Business As Balboa Pharmacy.

The provider's business location address is:

6465 BALBOA AVE STE 101
SAN DIEGO, CA
ZIP 92111-124
Phone: (858) 278-0111
Fax: (858) 278-2512

The provider's authorized official is Robert Yasmeh .
The authorized official title is Owner and has the following contact phone number (858) 278-0111.

The enumeration date for this NPI number is 12/27/2006 and was last updated on 6/23/2016.


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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0003XPharmacyCommunity/Retail PharmacyPHY53437CALIFORNIAYes

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
1PHA456330MEDICAIDCALIFORNIA
26107070001MEDICARE NSC
31992769OTHERPK

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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