Organization
PARADISE PHARMACY, INC.
Active
Other names
Ivy Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ROLANFRANCIS ARELLANO LEGASPI PHARM.D. (CEO/DIRECTOR)
(858) 560-1911
Entity
Organization
Contact information
Practice address
3940 4TH AVE STE 150, SAN DIEGO, CA 92103-7193
(619) 839-0455
Mailing address
8881 FLETCHER PKWY STE 103, LA MESA, CA 91942-3130
(858) 560-1979
(858) 560-9431
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
08/29/2023
Last updated
09/12/2023
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