Fairbanks Pharmacy
LBN: Del Sur Pharmacy
Fairbanks Pharmacy is an health care organization with primary practice located at 16089 San Dieguito Rd H102, Rancho Santa Fe CA 92067. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Del Sur Pharmacy can be contacted via phone (858) 759-6625, or through Gramlich, Bernard via phone (858) 759-6625.
Contact Information
Primary practice address
16089 San Dieguito Rd H102
Rancho Santa Fe CA 92067
Phone: (858) 759-6625
Fax: (858) 759-6729
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY55594 | California |
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1831628692 |
|---|---|
| LBN Legal business name | Del Sur Pharmacy |
| DBA Doing business as | Fairbanks Pharmacy |
| Authorized official | Gramlich, Bernard PHARM.D. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 6th, 2017 |
| Last updated | Apr 18th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831628692 | NPPES |
| California | MEDICAID | 1831628692 | |
| California | Other | 2169647 |
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