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LC SAN DIEGO LLC NPI 1730432469


NPI Information

NPI: 1730432469
Provider Name: LC SAN DIEGO LLC

Doing Business As: PALOMAR PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
1955 CITRACADO PKWY
STE 101
ESCONDIDO, CA
ZIP 92029
Phone: (760) 294-0790
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LC SAN DIEGO LLC is a community/retail pharmacy pharmacy in Escondido, 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. LC SAN DIEGO LLC NPI is 1730432469. The provider is registered as an organization entity type.
The provider Is Doing Business As Palomar Pharmacy.

The provider's business location address is:

1955 CITRACADO PKWY
STE 101
ESCONDIDO, CA
ZIP 92029-110
Phone: (760) 294-0790
Fax: (760) 294-0791

The provider's authorized official is Vera Abramova .
The authorized official title is Cfo and has the following contact phone number (516) 422-8477.

The enumeration date for this NPI number is 10/18/2012 and was last updated on 7/19/2018.


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
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyPHY55614CALIFORNIAYes

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
11730432469MEDICAIDCALIFORNIA
22168780OTHERPK

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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