Edgemoor Hospital Pharmacy

LBN: County Of San Diego
Edgemoor Hospital Pharmacy is an health care organization with primary practice located at 655 Park Center Dr , Santee CA 92071-6957. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Institutional Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. County Of San Diego can be contacted via phone (619) 596-6340, or through Hilleary, Gwenmarie via phone (619) 596-5500.

Contact Information

Primary practice address
655 Park Center Dr Santee CA 92071-6957
Fax: (619) 596-6341
Website:
Authorized official contact:
Name: Hilleary, Gwenmarie

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Institutional Pharmacy 3336I0012X
Suppliers / Long Term Care Pharmacy 3336L0003X 34002 California

Profile Details

NPI number 1316952914
LBN Legal business name County Of San Diego
DBA Doing business as Edgemoor Hospital Pharmacy
Authorized official Hilleary, Gwenmarie
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2006
Last updated Nov 12th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316952914 NPPES
Other 2114082 PK
MEDICAID ZZT05008F PK

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