DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: WHITE CROSS DRUG STORE

MEDICARE: WHITE CROSS DRUG STORE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1333600000XPharmacy
23336L0003XLong Term Care PharmacyPHY45196CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10595681OTHEROTHER ID NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
30595681OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number : 1609887199
Entity Type Code : Organization
Provider Name (Legal Business Name) : WHITE CROSS DRUG STORE
Provider Business Mailing Address
First Line : 4074 FAIRMOUNT AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92105-1608
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4074 FAIRMOUNT AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92105-1608
Country : US
Telephone Number : 619-284-1141
Fax Number : 619-284-0503
Authorized Official
Title or Position : OWNER
Name : MAX ATIYA
Credential :
Telephone Number : 619-284-1141
Provider Enumeration Date : 08/10/2006
Last Update Date : 08/31/2007

Similar Medicare Providers

1063405777 — DR. JARED HEATH HEIMBIGNER D.O.
Practice Location Address:
4060 FAIRMOUNT AVE
SAN DIEGO, CA
92105-1608
Practice Phone: 619-584-1612
Practice Fax:
1447246640 — MICHAEL SPENCER GIBSON M.D.
Practice Location Address:
4060 FAIRMOUNT AVE STE 120
SAN DIEGO, CA
92105-1608
Practice Phone: 619-269-1299
Practice Fax: 619-961-0812
1609849074 — LA MAESTRA FAMILY CLINIC, INC.
Practice Location Address:
4060 FAIRMOUNT AVE
SAN DIEGO, CA
92105-1608
Practice Phone: 619-280-4213
Practice Fax: 619-281-6738
1740254713 — DR. WADI ROUEL M.D.
Practice Location Address:
4060 FAIRMOUNT AVE
SAN DIEGO, CA
92105-1608
Practice Phone: 619-584-1612
Practice Fax: 619-281-6738
1518929876 — EUGENE JOSEPH BASILIERE M.D
Practice Location Address:
4060 FAIRMOUNT AVE
SAN DIEGO, CA
92105-1608
Practice Phone: 619-280-4213
Practice Fax:
1710089941 — DR. DAVID MICHAEL PRIVER MD
Practice Location Address:
4060 FAIRMOUNT AVE
SAN DIEGO, CA
92105-1608
Practice Phone: 619-280-4213
Practice Fax: 619-280-3545

Directions to “WHITE CROSS DRUG STORE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.