# ASCENDANT PHARMACY INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689454605
- **Authorized official:** MR. GAVIN JO LEE (FOUNDER AND CEO)
- **Authorized official phone:** (858) 775-1827

## Contact information

- **Practice address:** 8125 RONSON RD STE G, SAN DIEGO, CA 92111-2010
- **Practice address phone:** (858) 987-1020
- **Practice address fax:** (858) 987-1022
- **Mailing address:** 8125 RONSON RD STE G, SAN DIEGO, CA 92111-2010
- **Mailing address phone:** (858) 987-1020
- **Mailing address fax:** (858) 987-1022

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 10/05/2023
- **Last updated:** 11/07/2023