San Diego Community Pharmacy

LBN: San Diego Community Pharmacy
San Diego Community Pharmacy is an health care organization with primary practice located at 3703 Camino Del Rio S Ste 215B , San Diego CA 92108-4032. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. San Diego Community Pharmacy can be contacted via phone (619) 249-8623, or through Williams, Ollen via phone (619) 249-8623.

Contact Information

Primary practice address
3703 Camino Del Rio S Ste 215B San Diego CA 92108-4032
Phone: (619) 249-8623
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Williams, Ollen
Phone: (619) 249-8623

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1164776191
LBN Legal business name San Diego Community Pharmacy
DBA Doing business as
Authorized official Williams, Ollen
Entity Organization
Organization subpart 1 No
Enumeration date Oct 29th, 2012
Last updated Oct 29th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164776191 NPPES
California Other 102302979 CA BOARD OF EQUALIZATION - SELLERS PERMIT
California Other 20129010027 CA BOARD OF EQUALIZATION - SELLERS PERMIT

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