Providence Health System-Southern California
Providence Health System-Southern California is an Institutional Pharmacy in San Pedro, California. Licensed in California. Registered with an NPI since 2006.
- Licensed in
- CA
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
1300 W 7th StSan Pedro, CA 90732-3505
Phone: (310) 832-3311
Fax: (310) 514-5462
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Institutional Pharmacy (primary) | Taxonomy 3336I0012X · Licence HSP47226 (CA) |
|---|---|
| Long Term Care Pharmacy | Taxonomy 3336L0003X |
Record details
| NPI number | 1508972456 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Donald Anderson — Assistant Secretary Enrollments · (425) 358-9786 |
| Other names | Providence Little Company Of Mary Medical Center San Pedro Pharmacy |
| NPI enumerated | August 22, 2006 |
| Last updated in NPPES | May 9, 2025 |
| Certification date | May 9, 2025 |
| Mailing address | 1300 W 7th St, San Pedro, CA 90732-3505 |