Ucsd Img Clinic Pharmacy
LBN: Regents Of The University Of California-Ucsd Ambulatory Care Pharmacy
Ucsd Img Clinic Pharmacy is an health care organization with primary practice located at 8939 Villa La Jolla Dr Ste 129, La Jolla CA 92037-1732. 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 California-Ucsd Ambulatory Care Pharmacy can be contacted via phone (858) 657-2220, or through Hagney, Gary via phone (619) 543-6194.
Contact Information
Primary practice address
8939 Villa La Jolla Dr Ste 129
La Jolla CA 92037-1732
Phone: (858) 657-2220
Fax: (858) 657-2228
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | PHE48990 | California |
| Suppliers / Clinic Pharmacy | 3336C0002X | PHE48990 | California |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHE48990 | California |
Profile Details
| NPI number | 1790955987 |
|---|---|
| LBN Legal business name | Regents Of The University Of California-Ucsd Ambulatory Care Pharmacy |
| DBA Doing business as | Ucsd Img Clinic Pharmacy |
| Authorized official | Hagney, Gary RPH |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Mar 4th, 2008 |
| Last updated | Jun 10th, 2013 - about 12 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 | 1790955987 | NPPES |
| California | Other | GZ617A | MEDICARE PART B |
| California | Other | 5629499 | MEDICARE PART B |
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