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
Fax: (858) 759-6729
Website:
Authorized official contact:
Name: Gramlich, Bernard PHARM.D.

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831628692 NPPES
California MEDICAID 1831628692
California Other 2169647

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