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MEDICINE WORLD INC NPI 1366453953


NPI Information

NPI: 1366453953
Provider Name: MEDICINE WORLD INC

Doing Business As: PARK BOULEVARD PHARMACY

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
3904 PARK BLVD
SAN DIEGO, CA
ZIP 92103
Phone: (619) 295-3109
Get Directions

MEDICINE WORLD INC 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. MEDICINE WORLD INC NPI is 1366453953. The provider is registered as an organization entity type.
The provider Is Doing Business As Park Boulevard Pharmacy.

The provider's business location address is:

3904 PARK BLVD
SAN DIEGO, CA
ZIP 92103-502
Phone: (619) 295-3109
Fax: (619) 497-5234

The provider's authorized official is Ramsey Atiya .
The authorized official title is Director and has the following contact phone number (619) 295-3109.

The enumeration date for this NPI number is 8/10/2006 and was last updated on 8/22/2020.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyPHY45333CALIFORNIAYes
23336C0003XPharmacyCommunity/Retail PharmacyX
33336M0002XPharmacyMail Order PharmacyX
43336L0003XPharmacyLong Term Care PharmacyX

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10576821OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
2PHA453330MEDICAIDCALIFORNIA

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: 5/5/2024

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