REGENTS OF THE UNIVERSITY OF CALIFORNIA-UCSD AMBULATORY CARE PHARMACY
8939 Villa La Jolla Dr Ste 129
La Jolla, CA 92037
858-657-2220
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3336C0002X | Suppliers - Pharmacy - Clinic Pharmacy | CA | PHE48990 |
N | 3336C0003X | Suppliers - Pharmacy | CA | PHE48990 |
Y | 333600000X | Suppliers - Pharmacy | CA | PHE48990 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
MEDICARE PART B | GZ617A | CA | OTHER |
NCPDP | 5629499 | CA | OTHER |