Organization
SD HEALTHCARE RX NC
Active
Other names
CHILDRENS COMMUNITY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PARESH PATEL (CFO/DIRECTOR)
(858) 966-4060
Entity
Organization
Contact information
Practice address
3030 CHILDRENS WAY, #108, SAN DIEGO, CA 92123-4232
(858) 966-4060
(858) 966-5995
Mailing address
3030 CHILDRENS WAY, #108, SAN DIEGO, CA 92123-4232
(858) 966-4060
(858) 966-5995
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY371130
CA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0518867
NCPDP
—
05
—
PHA371130
—
CA
Enumeration date
11/03/2006
Last updated
11/12/2024
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