Organization
SNP PHARMACY LLC
Active
Other names
SKILLED NURSING PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RUBY BAYLIN (MANAGER)
(626) 820-5810
Entity
Organization
Contact information
Practice address
9920 SCRIPPS LAKE DR, STE 108, SAN DIEGO, CA 92131-1080
(858) 564-2000
(585) 564-2100
Mailing address
9920 SCRIPPS LAKE DR, STE 108, SAN DIEGO, CA 92131-1080
(858) 564-2000
(585) 564-2100
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PHY49973
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5629665
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
PHA499730
—
CA
Enumeration date
03/31/2008
Last updated
12/10/2024
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