# SHARP GROSSMONT HOSPITAL PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Costco Wholesaler Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760862924
- **Authorized official:** MS. KARLENE KAY SARRISIN R.PH. (STAFF PHARMACIST)
- **Authorized official phone:** (619) 740-4451

## Contact information

- **Practice address:** 5555 GROSSMONT CENTER DR, OUTPATIENT PHARMACY, LA MESA, CA 91942-3019
- **Practice address phone:** (619) 740-4458
- **Practice address fax:** (619) 740-4354
- **Mailing address:** 11192 SOCORRO ST, SAN DIEGO, CA 92129-1321
- **Mailing address phone:** (858) 449-9475
- **Mailing address fax:** (619) 740-4354

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | RPH38344 | CA | Yes |

## Other

- **Enumeration date:** 06/03/2015
- **Last updated:** 06/03/2015