# GUARDIAN PHARMACY OF SOUTHERN CALIFORNIA LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Rons Pharmacy Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902268220
- **Authorized official:** RONALD BELVILLE (PRESIDENT)
- **Authorized official phone:** (858) 652-6900

## Contact information

- **Practice address:** 10121 CARROLL CANYON RD, SAN DIEGO, CA 92131-1109
- **Practice address phone:** (858) 652-6900
- **Practice address fax:** (877) 595-7208
- **Mailing address:** PO BOX 11407, DEPT \# 2672, BIRMINGHAM, AL 35246-2672
- **Mailing address phone:** (404) 810-0089

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 54460 | CA | Yes |

## Other

- **Enumeration date:** 03/25/2016
- **Last updated:** 07/18/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1902268220 | — | CA |
| 01 | — | 2159238 | PK | — |
