Organization
SOUTH GATE ROSE PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSSMARI R RAMOS-ZAMORA (CEO)
(714) 953-6061
Entity
Organization
Contact information
Practice address
517 N MAIN ST, SUITE 101, SANTA ANA, CA 92701-4619
(714) 953-6861
(714) 953-6868
Mailing address
517 N MAIN ST, SUITE 101, SANTA ANA, CA 92701-4619
(714) 953-6861
(714) 953-6868
Taxonomy
Speciality
Code
Description
License number
State
261QA0005X
Ambulatory Family Planning Facility
Primary
5713290001
CA
Other
Enumeration date
10/24/2006
Last updated
08/22/2020
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