Organization
MONTECITO RX
Active
Other names
San Ysidro Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LARA CHRISTINE EDINGTON-HOVE (PRESIDENT/CEO/CFO/SECRETARY/DIRECTO)
(805) 969-2284
Entity
Organization
Contact information
Practice address
1498 EAST VALLEY RD, SANTA BARBARA, CA 93108-1241
(805) 969-2284
(805) 565-3174
Mailing address
1498 EAST VALLEY RD, SANTA BARBARA, CA 93108-1241
(805) 969-2284
(805) 565-3174
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY57904
BOARD OF PHARMACY
CA
Enumeration date
12/01/2021
Last updated
03/09/2022
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