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NPI 1265795447

OrganizationActive

4th Street Pharmacy, Inc

NPI 1265795447 · Community/Retail Pharmacy · San Diego, CA

Provider details

NPI number: 1265795447
Entity type: Organization
Primary specialty: Community/Retail PharmacySuppliers
Authorized official: Joseph Grasela, Owner/Pic
License: 50831 (CA)

Practice location

1765 4th Ave

San Diego, CA 92101-2670

Phone: (619) 398-1800

Fax: (619) 481-3733

More CA providers

Mailing address

1765 4th Ave

San Diego, CA 92101-2670

Registry dates

Enumerated: 2012-06-21
Last updated: 2012-06-21

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

4th Street Pharmacy, Inc — NPI 1265795447, San Diego, CA | NPI Central