Organization
SHARP CORONADO HOSPITAL AND HEALTHCARE CENTER
Active
Other names
Sharp Coronado Community Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN STONE (CEO)
(619) 522-3700
Entity
Organization
Contact information
Practice address
230 PROSPECT PL, STE 110, CORONADO, CA 92118-1978
(619) 522-3996
(619) 437-0652
Mailing address
8695 SPECTRUM CENTER BLVD, SAN DIEGO, CA 92123
(858) 499-3025
(858) 499-4738
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY36561
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2036040
PK
—
05
—
PHB365610
—
CA
Enumeration date
05/31/2006
Last updated
08/08/2017
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