SNP PHARMACY LLC
9920 Scripps Lake Dr Ste 108
San Diego, CA 92131
858-564-2000
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3336C0004X | Suppliers - Pharmacy - Compounding Pharmacy | ||
Y | 3336L0003X | Suppliers - Pharmacy | CA | PHY49973 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
NCPDP PROVIDER IDENTIFICATION NUMBER | 5629665 | OTHER | |
PHA499730 | CA | MEDICAID |