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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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