Guardian Pharmacy Of Southern California Llc
Long Term Care Pharmacy
10121 Carroll Canyon Rd, San Diego
California, 92131-1109
858-652-6900 877-595-7208
Guardian Pharmacy Of Southern California Llc is a Long Term Care Pharmacy in San Diego, California. It is located at 10121 Carroll Canyon Rd, San Diego and it's customer support contact number is 858-652-6900. The authorized person of Guardian Pharmacy Of Southern California Llc is Ronald Belville who is President of the pharmacy and his contact number is 858-652-6900. Active license number of Guardian Pharmacy Of Southern California Llc is 54460 for Long Term Care Pharmacy in California. Guardian Pharmacy Of Southern California Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Guardian Pharmacy Of Southern California Llc is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Pharmacy Details:
Guardian Pharmacy Of Southern California Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Guardian Pharmacy Of Southern California Llc |
| Type: | Long Term Care Pharmacy |
| Location: | 10121 Carroll Canyon Rd, San Diego,
California, 92131-1109 |
| Phone: | 858-652-6900 |
| Fax: | 877-595-7208 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Ronald Belville |
| Position: | President |
| Contact Number: | 858-652-6900 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1902268220 |
| NPI Enumeration Date: | 25 Mar, 2016 |
| NPI Last Update On: | 18 Jul, 2022 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Guardian Pharmacy Of Southern California Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Long Term Care Pharmacy | 54460 | California | Primary | |
| Pharmacy | | | Secondary | |
| Compounding Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1902268220 | Medicaid | California | |
| 2159238 | Other | | Pk |
Medicare Enrollment:
Guardian Pharmacy Of Southern California Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 4486937828 | O20170210000145 | Guardian Pharmacy Of Southern California Llc | DME SUPPLIER - PHARMACY |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 11407, Dept # 2672
Birmingham, Alabama |
| Zip: | 35246-2672 |
| Phone Number: | 404-810-0089 |
Patients can reach Guardian Pharmacy Of Southern California Llc at
10121 Carroll Canyon Rd, San Diego, California or can
call on customer care at 858-652-6900.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.