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Organization

SHARE OUR SELVES CORPORATION

Active
Other names
Share Our Selves Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTY WARD (CEO)
(949) 536-3927
Entity
Organization

Contact information

Practice address
1550 SUPERIOR AVE, COSTA MESA, CA 92627-3653
(949) 270-2135
Mailing address
PO BOX 10159, COSTA MESA, CA 92627-0050
(949) 270-2135

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
3336C0003X
Community/Retail Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
55931
RETAIL PHARMACY
CA
Enumeration date
04/19/2018
Last updated
10/15/2024
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