Organization
DIGNITY HEALTH
Active
Other names
Dignity Health Home Infusion Services
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN SULLIVAN PHD (VP POST ACUTE CARE SERVICES)
(805) 739-3830
Entity
Organization
Contact information
Practice address
124 S COLLEGE DR STE C, SANTA MARIA, CA 93454-5325
(805) 739-3810
(805) 739-3851
Mailing address
124 S COLLEGE DR, STE C, SANTA MARIA, CA 93454-5325
(805) 739-3810
(805) 739-3851
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1998785
PK
—
05
—
PHA455100
—
CA
Enumeration date
01/29/2007
Last updated
10/28/2020
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