Organization
PA HEALTHCARE PHARMACEUTICAL COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY DUANE BELL (GENERAL MANAGER)
(619) 741-9117
Entity
Organization
Contact information
Practice address
7183 NAVAJO RD, SUITE A, SAN DIEGO, CA 92119-1696
(619) 741-9117
(888) 502-2754
Mailing address
7183 NAVAJO RD, SUITE A, SAN DIEGO, CA 92119-1696
(619) 741-9117
(888) 502-2754
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100057238
—
WI
05
—
10026579700
—
NE
05
—
103275591-0001
—
PA
05
—
1477921666
—
CA
05
—
2413601
—
LA
Enumeration date
09/04/2015
Last updated
04/05/2018
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