Organization
DEL SUR PHARMACY
Active
Organization
DEL SUR PHARMACY
Active
Other names
Fairbanks Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BERNARD GRAMLICH PHARM.D. (CEO)
(858) 759-6625
Entity
Organization
Contact information
Practice address
16089 SAN DIEGUITO RD, H102, RANCHO SANTA FE, CA 92067
(858) 759-6625
(858) 759-6729
Mailing address
PO BOX 9227, RANCHO SANTA FE, CA 92067-4227
(858) 759-6625
(858) 759-6729
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY55594
CA
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831628692
—
CA
01
—
2169647
PK
—
Enumeration date
06/06/2017
Last updated
04/18/2018
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