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Organization
VETERANS HOME OF CALIFORNIA-CHULA VISTA
Active
Organization
VETERANS HOME OF CALIFORNIA-CHULA VISTA
Active
Other names
VETERANS HOME OF CA CHULA VISTA
Organization subpart
No
Provider details
NPI number
Authorized official
HARRIETTE BANNISTER BSP (DIRECTOR OF PHARMACY)
(619) 482-6020
Entity
Organization
Contact information
Practice address
700 E NAPLES CT, CHULA VISTA, CA 91911-6821
(619) 482-6020
(619) 205-1905
Mailing address
700 E NAPLES CT, CHULA VISTA, CA 91911-6821
(619) 482-6020
(619) 205-1905
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
PHE44723
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1998011
PK
—
05
—
PHA447230
—
CA
Enumeration date
01/24/2007
Last updated
05/01/2017
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