Providence Health System-southern California
Institutional Pharmacy
1300 W 7th St, San Pedro
California, 90732-3505
310-832-3311 310-514-5462
Providence Health System-southern California is a Institutional Pharmacy in San Pedro, California. It is located at 1300 W 7th St, San Pedro and it's customer support contact number is 310-832-3311. The authorized person of Providence Health System-southern California is Donald W Anderson Jr. who is Assistant Secretary Enrollments of the pharmacy and his contact number is 425-358-9786. Active license number of Providence Health System-southern California is HSP47226 for Institutional Pharmacy in California.
Providence Health System-southern California is a pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Providence Health System-southern California 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: | Providence Health System-southern California |
| Type: | Institutional Pharmacy |
| Location: | 1300 W 7th St, San Pedro,
California, 90732-3505 |
| Phone: | 310-832-3311 |
| Fax: | 310-514-5462 |
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: | Donald W Anderson Jr. |
| Position: | Assistant Secretary Enrollments |
| Contact Number: | 425-358-9786 |
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: | 1508972456 |
| NPI Enumeration Date: | 22 Aug, 2006 |
| NPI Last Update On: | 09 May, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Providence Health System-southern California are as mentioned below.
| Specialization | License Number | State | Status | |
| Institutional Pharmacy | HSP47226 | California | Primary | |
| Long Term Care 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 |
| 0544519 | Other | | Ncpdp Provider Identification Number |
| PHB472260 | Medicaid | California | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1300 W 7th St,
San Pedro, California |
| Zip: | 90732-3505 |
| Phone Number: | 310-514-5267 |
| Fax Number: | 310-514-5462 |
Patients can reach Providence Health System-southern California at
1300 W 7th St, San Pedro, California or can
call on customer care at 310-832-3311.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.