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Organization

SHARP CHULA VISTA MEDICAL CENTER

Active
Other names
SHARP CHULA VISTA MEDICAL CENTER SNF PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIAM SCOTT EVANS (SVP CHIEF STRATEGY OFFICER & CEO)
(619) 740-4648
Entity
Organization

Contact information

Practice address
751 MEDICAL CENTER CT, 2ND FLOOR, CHULA VISTA, CA 91911-6617
(619) 502-4000
(619) 502-4025
Mailing address
8695 SPECTRUM CENTER BLVD, SAN DIEGO, CA 92123
(858) 499-3025
(858) 499-4738

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0002X
Clinic Pharmacy
3336I0012X
Institutional Pharmacy
3336L0003X
Long Term Care Pharmacy
Primary
HSP40482
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1993091
PK
05
PHA404820
CA
Enumeration date
06/01/2006
Last updated
06/16/2025
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