Organization
SHARE OUR SELVES CORPORATION
Active
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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