NPI 1215359518 · live from the CMS NPI Registry
Continued Care Ltc Pharmacy LLC
Pharmacy, Long Term Care Pharmacy in San Diego, CA. National Provider Identifier 1215359518, active.
NPI record
| NPI | 1215359518 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Long Term Care Pharmacy 3336L0003X |
| Practice location | 9320 Hazard Way Ste B1, San Diego, CA 92123 |
| Practice phone | 888-277-2132 |
| Mailing address | Po Box 1350, Riverton, UT 84065 |
| Enumerated | January 6, 2014 |
| Last updated | July 7, 2022 |
| Authorized official | Brandon Hagen, General Manager |
| Other names | Continued Care Ltc Pharmacy |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy | 333600000X | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | 54470 (CA) |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — |
| Pharmacy, Compounding Pharmacy | 3336C0004X | — |
| Pharmacy, Long Term Care Pharmacy primary | 3336L0003X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.