Organization
SHARP GROSSMONT HOSPITAL PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK CRAYCHEE PHARM.D. (PHARMACY DIRECTOR)
(619) 740-4458
Entity
Organization
Contact information
Practice address
5555 GROSSMONT CENTER DR, LA MESA, CA 91942-3019
(619) 740-4458
(619) 740-4887
Mailing address
5555 GROSSMONT CENTER DR, LA MESA, CA 91942-3019
(619) 740-4458
(619) 740-4887
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
HSP 37455
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0564179
NABP NUMBER
CA
01
—
HSP37455
LICENSE NUMBER
CA
Enumeration date
03/14/2007
Last updated
08/22/2020
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