Organization
PALOMAR HEALTH
Active
Parent organization
PALOMAR HEALTH
Other names
PMC Outpatient Pharmacy - Poway
Organization subpart
Yes
Provider details
NPI number
Legal business name
PALOMAR HEALTH
Authorized official
DIANE HANSEN (PRESIDENT AND CEO)
(760) 740-6385
Entity
Organization
Contact information
Practice address
15615 POMERADO RD STE 105, POWAY, CA 92064-2405
(442) 281-4040
Mailing address
2125 CITRACADO PKWY STE 300, ESCONDIDO, CA 92029-4159
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
04/07/2021
Last updated
04/07/2021
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