Organization
SCRIPPS HEALTH GREEN AMBULATORY PHARMACY
Active
Other names
Scripps Health Green Ambulatory Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY JACKSON (AVP PHARMACY SERVICES)
(858) 678-7004
Entity
Organization
Contact information
Practice address
10666 N TORREY PINES RD, 2ND FLOOR, LA JOLLA, CA 92037-1027
(858) 678-7111
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(858) 678-7111
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
53682
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2153232
PK
—
Enumeration date
07/24/2015
Last updated
03/24/2020
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