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White Cross Drug Store
Long Term Care Pharmacy in San Diego, California
NPI 1609887199

White Cross Drug Store is a Long Term Care Pharmacy based in San Diego, CA and is specialized in Long Term Care Pharmacy. White Cross Drug Store practices in San Diego, CA. The NPI Number for White Cross Drug Store is 1609887199 and holds a License No. (California).

The current practice location address for White Cross Drug Store is 4074 Fairmount Ave, San Diego, CA and can be reached out via phone at 619-284-1141 and via fax at 619-284-0503.

Location: 4074 Fairmount Ave, San Diego, CA, 92105-1608
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1609887199
Provider Name
White Cross Drug Store
Credential
Provider Entity Type
Organization
Address
4074 Fairmount Ave, San Diego, CA, 92105-1608
Phone Number
619-284-1141
Fax Number
619-284-0503
Provider Enumeration Date
08/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0595681 01 OTHER ID NUMBER
PHA451960 05 CA
0595681 01 OTHER ID NUMBER-COMMERCIAL NUMBER
institution
Provider Business Practice Location Address Details
Address
4074 Fairmount Ave
City
San Diego
State
California
Zip
92105-1608
Phone Number
619-284-1141
Fax Number
619-284-0503
person
Provider Business Mailing Address Details
Address
4074 Fairmount Ave
City
San Diego
State
California
Zip
92105-1608
Phone Number
619-284-1141
Fax Number
619-284-0503
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
PHY45196 (California)
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
3336L0003X
License No.
()
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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