Organization
PACIFIC PHARMACY GROUP
Active
Other names
Fallbrook LTC Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JAN BALTHASAR (CEO)
(949) 215-5522
Entity
Organization
Contact information
Practice address
343 E ALVARADO ST, SUITE C, FALLBROOK, CA 92028-2966
(760) 728-6142
(760) 728-6382
Mailing address
343 E ALVARADO ST, SUITE C, FALLBROOK, CA 92028-2966
(760) 728-6142
(760) 728-6382
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
51247
CA
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2140772
PK
—
Enumeration date
05/31/2013
Last updated
06/14/2013
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