Organization
JOHN N DABBS III
Active
Other names
GREENFIELD Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DABBS (OWNER)
(760) 631-1010
Entity
Organization
Contact information
Practice address
2067 W VISTA WAY, STE195, VISTA, CA 92083-6031
(760) 631-1010
(760) 758-7612
Mailing address
2067 W VISTA WAY, STE195, VISTA, CA 92083-6031
(760) 631-1010
(760) 758-7612
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY37480
CA
3336C0004X
Compounding Pharmacy
—
—
3336M0003X
Managed Care Organization Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0533693
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
PHA374800
—
CA
Enumeration date
08/31/2006
Last updated
05/12/2011
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