Organization
SHARP HEALTHCARE
Active
Organization
SHARP HEALTHCARE
Active
Parent organization
SHARP HEALTHCARE
Other names
SHARP REES STEALY PHARMACY, Sharp Rees-Stealy Pharmacy #5
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHARP HEALTHCARE
Authorized official
STACEY HROUNTAS (CEO SHARP REES-STEALY)
(858) 262-6003
Entity
Organization
Contact information
Practice address
5525 GROSSMONT CENTER DR, LA MESA, CA 91942-3009
(619) 644-6650
(619) 644-1205
Mailing address
PO BOX 122166, CHULA VISTA, CA 91912-6866
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY43228
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1990836
PK
—
01
—
FLU011D
MEDICARE
CA
05
—
PHA432280
—
CA
Enumeration date
06/21/2006
Last updated
08/06/2019
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