Organization
IMPERIAL BEACH PHARMACY LLC
Active
Other names
IMPERIAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRASHANT AMRUTLAL KOYANI PHARMD (MEMBER)
(619) 343-0095
Entity
Organization
Contact information
Practice address
1530 PALM AVE, SAN DIEGO, CA 92154-1016
(619) 343-0095
(619) 830-4590
Mailing address
1530 PALM AVE, SAN DIEGO, CA 92154-1016
(619) 343-0095
(619) 830-4590
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
02/08/2024
Last updated
10/22/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us