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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