Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

4th Street Pharmacy, Inc

Organization Community/Retail Pharmacy · NPI 1265795447

4th Street Pharmacy, Inc is a Community/Retail Pharmacy in San Diego, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1765 4th Ave
San Diego, CA 92101-2670
Phone: (619) 398-1800
Fax: (619) 481-3733
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 50831 (CA)

Record details

NPI number1265795447
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joseph Grasela — Owner/Pic · (619) 683-2005
Other names University Compounding Pharmacy
NPI enumeratedJune 21, 2012
Last updated in NPPESJune 21, 2012
Mailing address1765 4th Ave, San Diego, CA 92101-2670

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