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CHULAVISTA PHARMACY LLC

Medical Equipment Supplier Yellow Pages

Chula Vista, California

Provider NPI: 1942200902

Organization Information:
Organization Name:  CHULAVISTA PHARMACY LLC


Practice Location:
384 H ST  CHULA VISTA, CA 91910 US
Tel: 619-781-8177  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y3336C0003XSuppliers
Pharmacy
Community/Retail Pharmacy
CAPHY55409

Other Provider Identifiers:

IssuerNumberStateType
CA BOARD OF PHARMACY PERMITPHY55409CA01
NCPDP NUMBER05-79435CA01
MEDI-CAL PROVIDER1942200902CA01
PK200467801
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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