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PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA

Institutional Pharmacy

A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

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Contact Information

PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA
1300 W 7TH ST
SAN PEDRO, CA  90732-3505
 Phone: 310-832-3311
 Fax: 310-514-5462
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

 3336I0012X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

 3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA

NPI # 1508972456
LBN Legal business name PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA
Authorized official DONALD ANDERSON - (ASSISTANT SECRETARY ENROLLMENTS)
Entity Organization
Organization subpart 1 No
Enumeration date 08/22/2006
Last updated 05/09/2025 - More than a year ago
Identifiers
CA License # HSP47226
CA Medicaid PHB472260
Other 0544519 NCPDP PROVIDER IDENTIFICATION NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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