Organization · Type 2 NPI

Providence Health System-Southern California

Institutional Pharmacy · San Pedro, CA

NPI number 1508972456 Active

Practice location

1300 W 7th St
San Pedro, CA 90732-3505

Fax (310) 514-5462

Specialties and licenses

Taxonomy	Code	License
Institutional Pharmacy Primary	3336I0012X	HSP47226 (CA)
Long Term Care Pharmacy	3336L0003X	None listed

Institutional Pharmacy: A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services…

81 other providers at this address

NPI record

NPI: 1508972456
Entity type: Organization (Type 2)
Issued: Aug 22, 2006
Last updated: May 9, 2025
Status: Active

Other names

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Providence Little Company of Mary Medical Center San Pedro Pharmacy · doing business as

Authorized official

Donald W Anderson
Assistant Secretary Enrollments
(425) 358-9786

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1508972456

Providence Health System-Southern California's National Provider Identifier is 1508972456, issued on Aug 22, 2006. The primary taxonomy on file is Institutional Pharmacy (3336I0012X), and the practice location is in San Pedro, CA. The record was last updated on May 9, 2025.