Scripps Health Green Ambulatory Pharmacy
Organization Active NPI Community/Retail Pharmacy · La Jolla, CA
NPI 1730564352 · NPPES record last updated Mar 24, 2020
Key facts
- NPI
- 1730564352
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 53682 (CA)
- Legal business name
- SCRIPPS HEALTH GREEN AMBULATORY PHARMACY
- Practice address
- 10666 N Torrey Pines Rd
2ND Floor
La Jolla, CA 92037-1027 - Phone
- (858) 678-7111
- NPI assigned
- Jul 24, 2015
- Organization subpart
- No
Authorized official
- Name
- Anthony Jackson
- Title
- Avp Pharmacy Services
- Phone
- (858) 678-7004
Corporate family (same tax ID) 26
National Provider Directory
- Tax ID family
- Scripps Clinic Med GRP Inc
Locations
10666 N Torrey Pines Rd
Fl 2
La Jolla, CA 92037
Phone (858) 554-8122
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 53682 | CA | Yes |
Addresses
Primary practice location
10666 N Torrey Pines Rd
2ND Floor
La Jolla, CA 92037-1027
Mailing address
10790 Rancho Bernardo Rd
San Diego, CA 92127-5705
Phone (858) 678-7111
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2153232 | Other | PK |
Other names
- Scripps Health Green Ambulatory Pharmacy
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All providers in La Jolla, CA · Community/Retail Pharmacy in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.