| Share Our Selves Pharmacy | |
|
1550 Superior Ave Costa Mesa CA 92627-3653 | |
| (949) 270-2135 | |
| Not Available |
| Full Name | Share Our Selves Pharmacy |
|---|---|
| Speciality | Clinic/Center |
| Location | 1550 Superior Ave, Costa Mesa, California |
| Authorized Official Name and Position | Christy Ward (CEO) |
| Authorized Official Contact | 9495363927 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Share Our Selves Pharmacy Po Box 10159 Costa Mesa CA 92627-0050 Ph: (949) 270-2135 | Share Our Selves Pharmacy 1550 Superior Ave Costa Mesa CA 92627-3653 Ph: (949) 270-2135 |
| NPI Number | 1144717778 |
|---|---|
| Provider Enumeration Date | 04/19/2018 |
| Last Update Date | 07/29/2020 |
| Medicare PECOS PAC ID | 4789854993 |
|---|---|
| Medicare Enrollment ID | O20210408000758 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144717778 | NPI | - | NPPES |
| 55931 | Other | CA | RETAIL PHARMACY |
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