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LINDA VISTA PHARMACY NPI 1871571307


NPI Information

NPI: 1871571307
Provider Name: LINDA VISTA PHARMACY
Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
2361 ULRIC ST
SAN DIEGO, CA
ZIP 92111
Phone: (858) 277-6147
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LINDA VISTA PHARMACY is a pharmacy in San Diego, CA. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. LINDA VISTA PHARMACY NPI is 1871571307. The provider is registered as an organization entity type.

The provider's business location address is:

2361 ULRIC ST
SAN DIEGO, CA
ZIP 92111-402
Phone: (858) 277-6147
Fax: (858) 277-6146

The provider's authorized official is Tien Quang Bui .
The authorized official title is Owner and has the following contact phone number (858) 277-6147.

The enumeration date for this NPI number is 1/4/2006 and was last updated on 3/7/2023.


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
1333600000XPharmacyYes

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
1PHA338550MEDICAIDCALIFORNIA

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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