Organization
SHARP CORONADO HOSPITAL AND HEALTHCARE CENTER
Active
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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