Organization
REAL WORLD ENTERPRISES
Active
Other names
SMART PHARMACY SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD E WILSON (PRESIDENT)
(858) 668-3350
Entity
Organization
Contact information
Practice address
13220 EVENING CREEK DR S, SUITE 110, SAN DIEGO, CA 92128-4103
(858) 668-3350
(858) 668-3352
Mailing address
13220 EVENING CREEK DR S, SUITE 110, SAN DIEGO, CA 92128-4103
(858) 668-3350
(858) 668-3352
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
PHY46837
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5613737
NCPDP NUMBER
—
05
—
PHA468370
—
CA
Enumeration date
12/28/2006
Last updated
07/02/2008
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