Ucsd Medical Group Pharmacy

LBN: Regents Of The University Of Ca-Ucsd Ambulatory Care Pharmacy
Ucsd Medical Group Pharmacy is an health care organization with primary practice located at 330 Lewis St 2Nd Flr, San Diego CA 92103-2108. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Regents Of The University Of Ca-Ucsd Ambulatory Care Pharmacy can be contacted via phone (619) 471-9235, or through Hagney, Gary via phone (619) 543-6194.

Contact Information

Primary practice address
330 Lewis St 2Nd Flr San Diego CA 92103-2108
Fax: (619) 471-9236
Website:
Authorized official contact:
Name: Hagney, Gary RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PHE37896 California
Suppliers / Clinic Pharmacy 3336C0002X PHE37896 California
Suppliers / Community/Retail Pharmacy 3336C0003X PHE37896 California

Profile Details

NPI number 1407877483
LBN Legal business name Regents Of The University Of Ca-Ucsd Ambulatory Care Pharmacy
DBA Doing business as Ucsd Medical Group Pharmacy
Authorized official Hagney, Gary RPH
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 22nd, 2006
Last updated Jun 10th, 2013 - about 11 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 1407877483 NPPES
Other 0546412 OTHER ID NUMBER-COMMERCIAL NUMBER
Other GU028B OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID PHB378960 OTHER ID NUMBER-COMMERCIAL NUMBER

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