Providence Health System-Southern California
NPI #1508972456 in San Pedro, California
Provider Information
- NPI Number
- 1508972456
- Entity Type
- Organization
- Organization Name
- Providence Health System-Southern California
- Primary Specialty
- Pharmacy - Institutional Pharmacy
- Enumeration Date
- Aug 22, 2006
- Last Updated
- May 9, 2025
Practice Location
- Address
- 1300 W 7TH ST
- City
- San Pedro
- State
- California
- ZIP Code
- 90732-3505
- Phone
- (310) 832-3311
Authorized Official
- Name
- DONALD W ANDERSON JR.
- Title
- ASSISTANT SECRETARY ENROLLMENTS
- Phone
- (425) 358-9786
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
| Pharmacy - Institutional Pharmacy — Institutional Pharmacy |
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