Organization
SHARP HEALTHCARE
Active
Parent organization
SHARP HEALTHCARE
Other names
Sharp Rees-Stealy Pharmacy #1
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHARP HEALTHCARE
Authorized official
STACEY HROUNTAS (CEO - SHARP REES-STEALY)
(858) 262-6003
Entity
Organization
Contact information
Practice address
300 FIR ST, SAN DIEGO, CA 92101-2327
(619) 446-1512
(619) 544-0677
Mailing address
8695 SPECTRUM CENTER BLVD, SAN DIEGO, CA 92123-1489
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY43224
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699716696
—
CA
01
—
2088116
PK
—
01
—
PHA43224
CSBP
—
Enumeration date
06/09/2006
Last updated
04/07/2021
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