Organization
ALTA VIEW HEALTH CARE LLC
Active
Organization
ALTA VIEW HEALTH CARE LLC
Active
Other names
The Medicine Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AMJAD ABDELQADER A ALQAZQI (MANAGING MEMBER)
(858) 250-9623
Entity
Organization
Contact information
Practice address
296 H ST STE 103, CHULA VISTA, CA 91910-4779
(619) 470-4550
(619) 470-6709
Mailing address
296 H ST STE 103, CHULA VISTA, CA 91910-4779
(619) 470-4550
(619) 470-6709
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
CA
3336L0003X
Long Term Care Pharmacy
55851
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0597700
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
1851430805
—
CA
Enumeration date
02/06/2007
Last updated
01/19/2024
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