Organization
GUARDIAN PHARMACY OF SOUTHERN CALIFORNIA LLC
Active
Other names
Rons Pharmacy Services
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD BELVILLE (PRESIDENT)
(858) 652-6900
Entity
Organization
Contact information
Practice address
10121 CARROLL CANYON RD, SAN DIEGO, CA 92131-1109
(858) 652-6900
(877) 595-7208
Mailing address
PO BOX 11407, DEPT # 2672, BIRMINGHAM, AL 35246-2672
(404) 810-0089
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
54460
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902268220
—
CA
01
—
2159238
PK
—
Enumeration date
03/25/2016
Last updated
07/18/2022
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