Organization
DIGNITY HEALTH
Active
Parent organization
DIGNITY HEALTH
Other names
St. John's Pleasant Valley Hospital Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIGNITY HEALTH
Authorized official
ROBERT WARDWELL (CHIEF FINANCIAL OFFICER)
(805) 389-5113
Entity
Organization
Contact information
Practice address
2309 ANTONIO AVE, CAMARILLO, CA 93010-1414
(805) 389-5800
(805) 383-7452
Mailing address
2415 ANTONIO AVE, CAMARILLO, CA 93010-1459
(805) 988-5800
(805) 383-7460
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
HSP 45505
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0504440
NCPDP
—
05
—
PHB391470
—
CA
Enumeration date
03/22/2007
Last updated
03/27/2012
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