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PARK MEDICAL PHARMACY NPI 1700999034


NPI Information

NPI: 1700999034
Provider Name: PARK MEDICAL PHARMACY

Doing Business As: MEDICAL CENTER PHARMACY

Classification: Pharmacist - 183500000X
Entity Type: Organization
Address:
610 GATEWAY CENTER WAY
SUITE A
SAN DIEGO, CA
ZIP 92102
Phone: (619) 262-4373
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PARK MEDICAL PHARMACY is a pharmacist in San Diego, CA. The provider is an individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. PARK MEDICAL PHARMACY NPI is 1700999034. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Medical Center Pharmacy.

The provider's business location address is:

610 GATEWAY CENTER WAY
SUITE A
SAN DIEGO, CA
ZIP 92102-533
Phone: (619) 262-4373
Fax: (619) 398-2929

The provider's authorized official is George Awad .
The authorized official title is Owner and has the following contact phone number (619) 262-4373.

The enumeration date for this NPI number is 8/17/2006 and was last updated on 9/22/2015.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1183500000XPharmacistPHY 40504CALIFORNIANo
2183500000XPharmacistRPH57626CALIFORNIAYes

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
1PHY40504OTHERCALIFORNIAPHARMACY LICENSE
2PHA405040MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
3BM7185893OTHERCALIFORNIAPHARMACY DEA
40225250001MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA

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: 11/14/2023

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