Organization
SHARP HEALTHCARE
Active
Parent organization
SHARP HEALTHCARE
Other names
Sharp Rees-Stealy Pharmacy #4
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHARP HEALTHCARE
Authorized official
STACEY HROUNTAS (DIRECTOR SHARP REES-STEALY)
(858) 262-6003
Entity
Organization
Contact information
Practice address
10243 GENETIC CENTER DR, SAN DIEGO, CA 92121-6310
(858) 526-6080
(858) 526-6079
Mailing address
8695 SPECTRUM CENTER BLVD, SAN DIEGO, CA 92123-1489
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY43227
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0522094
NCPDP PROVIDER IDENTIFICATION NUMBER
—
01
—
FLU011
MEDICARE
CA
05
—
PHA432270
—
CA
Enumeration date
06/09/2006
Last updated
08/06/2019
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