4TH STREET PHARMACY, INC
Organization (NPI-2)
Active
Pharmacy, Community/Retail Pharmacy
Provider Information
- NPI Number
1265795447- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1765 4TH AVE, SAN DIEGO, CA, 921012670
- Phone
- (619) 398-1800
- Fax
- (619) 481-3733
Specialties & Taxonomies
Pharmacy, Community/Retail Pharmacy
Primary License: CA #50831