Organization
PALOMAR HEALTH
Active
Organization
PALOMAR HEALTH
Active
Parent organization
PALOMAR HEALTH
Other names
Palomar Health Outpatient Pharmacy
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
2185 CITRACADO PKWY, ESCONDIDO, CA 92029-4159
(442) 281-4000
(760) 489-9908
Mailing address
2125 CITRACADO PKWY STE 300, ESCONDIDO, CA 92029-4159
(760) 489-9908
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
51949
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2147435
PK
—
Enumeration date
09/25/2012
Last updated
03/09/2021
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