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Providence Health System-southern California
Long Term Care Pharmacy in San Pedro, California
NPI 1508972456

Providence Health System-southern California is a Long Term Care Pharmacy based in San Pedro, CA and is specialized in Long Term Care Pharmacy. Providence Health System-southern California practices in San Pedro, CA. The NPI Number for Providence Health System-southern California is 1508972456 and holds a License No. HSP47226 (California).

The current practice location address for Providence Health System-southern California is 1300 W 7Th St, San Pedro, CA and can be reached out via phone at 310-832-3311 and via fax at 310-514-5462.

Location: 1300 W 7Th St, San Pedro, CA, 90732-3505
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1508972456
Provider Name
Providence Health System-southern California
Credential
Provider Entity Type
Organization
Address
1300 W 7Th St, San Pedro, CA, 90732-3505
Phone Number
310-832-3311
Fax Number
310-514-5462
Provider Enumeration Date
08/22/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PHB472260 05 CA
0544519 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
1300 W 7Th St
City
San Pedro
State
California
Zip
90732-3505
Phone Number
310-832-3311
Fax Number
310-514-5462
person
Provider Business Mailing Address Details
Address
1300 W 7Th St
City
San Pedro
State
California
Zip
90732-3505
Phone Number
310-832-3311
Fax Number
310-514-5462
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Institutional Pharmacy
Taxonomy
3336I0012X
License No.
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Definition
A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
3336L0003X
License No.
HSP47226 (California)
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
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