Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
PARK MEDICAL PHARMACY
Active
Organization
PARK MEDICAL PHARMACY
Active
Other names
Medical Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE AWAD (OWNER)
(619) 262-4373
Entity
Organization
Contact information
Practice address
610 GATEWAY CENTER WAY, SUITE A, SAN DIEGO, CA 92102-4533
(619) 238-9501
(619) 398-2929
Mailing address
610 GATEWAY CENTER WAY, SUITE A, SAN DIEGO, CA 92102-4533
(619) 238-9501
(619) 398-2929
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PHY 46278
CA
183500000X
Pharmacist
Primary
RPH24623
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA462780
—
CA
01
—
PHY46278
PHARMACY LICENSE
CA
Enumeration date
08/17/2006
Last updated
03/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up