Organization · Type 2 NPI

Regents of the University of California-Ucsd Ambulatory Care Pharmacy

Pharmacy · La Jolla, CA

NPI number 1790955987 Active

Practice location

8939 Villa La Jolla Dr, Ste 129
La Jolla, CA 92037-1732

Call (858) 657-2220 Map

Fax (858) 657-2228

Mailing address

200 W Arbor Dr, Mail Code 8765
San Diego, CA 92103-9001

Specialties and licenses

Taxonomy	Code	License
Pharmacy Primary	333600000X	PHE48990 (CA)
Clinic Pharmacy	3336C0002X	PHE48990 (CA)
Community/Retail Pharmacy	3336C0003X	PHE48990 (CA)

Pharmacy: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is lo…

11 other providers at this address

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NPI record

NPI: 1790955987
Entity type: Organization (Type 2)
Issued: Mar 4, 2008
Last updated: Jun 10, 2013
Status: Active
Subpart: Yes of Regents of the University of California-Ucsdmg

Other names

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Ucsd Img Clinic Pharmacy · doing business as

Authorized official

Mr. Gary Hagney, RPH
Director Ucsd Amcare Pharmacy
(619) 543-6194

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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 1790955987

Regents of the University of California-Ucsd Ambulatory Care Pharmacy's National Provider Identifier is 1790955987, issued on Mar 4, 2008. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in La Jolla, CA. The record was last updated on Jun 10, 2013.