Organization
SHARP GROSSMONT HOSPITAL PHARMACY
Active
Other names
Costco Wholesaler Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KARLENE KAY SARRISIN R.PH. (STAFF PHARMACIST)
(619) 740-4451
Entity
Organization
Contact information
Practice address
5555 GROSSMONT CENTER DR, OUTPATIENT PHARMACY, LA MESA, CA 91942-3019
(619) 740-4458
(619) 740-4354
Mailing address
11192 SOCORRO ST, SAN DIEGO, CA 92129-1321
(858) 449-9475
(619) 740-4354
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
RPH38344
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHB374550
—
CA
Enumeration date
06/03/2015
Last updated
06/03/2015
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