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Organization
SD HEALTHCARE RX INC
Active
Organization
SD HEALTHCARE RX INC
Active
Other names
CHILDRENS COMMUNITY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
NIXIT D VADDORIYA (PRESIDENT/CEO)
(858) 313-0200
Entity
Organization
Contact information
Practice address
3030 CHILDRENS WAY STE 108, SAN DIEGO, CA 92123-4226
(858) 313-0200
(858) 313-0202
Mailing address
3030 CHILDRENS WAY STE 108, SAN DIEGO, CA 92123-4226
(858) 313-0200
(858) 313-0202
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY60502
BOARD OF PHARMACY
CA
Enumeration date
07/22/2025
Last updated
07/22/2025
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