Organization
ALMA JEAN CHAPPELL
Active
Other names
SIXTH AVENUE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN CHAPPELL (OWNER PHARMACIST)
(619) 233-3665
Entity
Organization
Contact information
Practice address
2121 5TH AVE, SAN DIEGO, CA 92101-2139
(619) 233-3665
(619) 233-3656
Mailing address
2121 5TH AVE, SAN DIEGO, CA 92101-2139
(619) 233-3665
(619) 233-3656
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY46288
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0512839
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
PHA462880
—
CA
Enumeration date
08/31/2006
Last updated
04/20/2010
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