Organization
SHARP HEALTHCARE
Active
Parent organization
SHARP HEALTHCARE
Other names
SHARP REES-STEALY PHARMACY #3
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHARP HEALTHCARE
Authorized official
STACEY HROUNTAS (CEO SHARP REES-STEALY)
(858) 262-6003
Entity
Organization
Contact information
Practice address
16899 W BERNARDO DR, SAN DIEGO, CA 92127-1603
(858) 521-2290
(858) 521-2004
Mailing address
8695 SPECTRUM CENTER BLVD, SAN DIEGO, CA 92123-1489
(858) 499-3025
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY55457
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1999407
PK
—
01
—
FLU011C
MEDICARE
CA
05
—
PHA451060
—
CA
Enumeration date
06/09/2006
Last updated
08/06/2019
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