COUNTY OF SAN DIEGO NPI 1316952914

NPI Information

COUNTY OF SAN DIEGO is a long term care pharmacy pharmacy in Santee, CA. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. COUNTY OF SAN DIEGO NPI is 1316952914. The provider is registered as an organization entity type.
The provider Is Doing Business As Edgemoor Hospital Pharmacy.

The provider's business location address is:

655 PARK CENTER DR
SANTEE, CA
ZIP 92071-957
Phone: (619) 596-6340
Fax: (619) 596-6341

The provider's authorized official is Gwenmarie Hilleary .
The authorized official title is Administrator and has the following contact phone number (619) 596-5500.

The CLIA number assigned to this NPI record is 05D0919690 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/30/2006 and was last updated on 11/12/2015.

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:

Other Identifiers

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

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