# PACIFIC PHARMACY GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fallbrook LTC Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730526781
- **Authorized official:** JAN BALTHASAR (CEO)
- **Authorized official phone:** (949) 215-5522

## Contact information

- **Practice address:** 343 E ALVARADO ST, SUITE C, FALLBROOK, CA 92028-2966
- **Practice address phone:** (760) 728-6142
- **Practice address fax:** (760) 728-6382
- **Mailing address:** 343 E ALVARADO ST, SUITE C, FALLBROOK, CA 92028-2966
- **Mailing address phone:** (760) 728-6142
- **Mailing address fax:** (760) 728-6382

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 51247 | CA | Yes |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 05/31/2013
- **Last updated:** 06/14/2013