# VETERANS HOME OF CALIFORNIA-CHULA VISTA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** VETERANS HOME OF CA CHULA VISTA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730234493
- **Authorized official:** HARRIETTE BANNISTER BSP (DIRECTOR OF PHARMACY)
- **Authorized official phone:** (619) 482-6020

## Contact information

- **Practice address:** 700 E NAPLES CT, CHULA VISTA, CA 91911-6821
- **Practice address phone:** (619) 482-6020
- **Practice address fax:** (619) 205-1905
- **Mailing address:** 700 E NAPLES CT, CHULA VISTA, CA 91911-6821
- **Mailing address phone:** (619) 482-6020
- **Mailing address fax:** (619) 205-1905

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | PHE44723 | CA | Yes |

## Other

- **Enumeration date:** 01/24/2007
- **Last updated:** 05/01/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1998011 | PK | — |
| 05 | — | PHA447230 | — | CA |