Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
WHITE CROSS DRUG STORE
Active
Organization
WHITE CROSS DRUG STORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAX ATIYA (OWNER)
(619) 284-1141
Entity
Organization
Contact information
Practice address
4074 FAIRMOUNT AVE, SAN DIEGO, CA 92105-1608
(619) 284-1141
(619) 284-0503
Mailing address
4074 FAIRMOUNT AVE, SAN DIEGO, CA 92105-1608
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
PHY45196
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0595681
OTHER ID NUMBER
—
05
—
PHA451960
—
CA
Enumeration date
08/10/2006
Last updated
08/31/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers