Organization
PARADISE PHARMACY, INC.
Active
Other names
Paradise Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ROLANFRANCIS LEGASPI (PHARMD OWNER)
(619) 399-7581
Entity
Organization
Contact information
Practice address
502 EUCLID AVE STE 100, NATIONAL CITY, CA 91950-2948
(619) 399-7581
(619) 399-7584
Mailing address
502 EUCLID AVE STE 100, NATIONAL CITY, CA 91950-2948
(619) 399-7581
(619) 399-7584
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
55455
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2167997
PK
—
Enumeration date
02/21/2017
Last updated
07/24/2020
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