White Cross Drug Store
Long Term Care Pharmacy
4074 Fairmount Ave, San Diego
California, 92105-1608
619-284-1141 619-284-0503
White Cross Drug Store is not a DME supplier for medicare equipments and products.
White Cross Drug Store is a Long Term Care Pharmacy in San Diego, California. It is located at 4074 Fairmount Ave, San Diego and it's customer support contact number is 619-284-1141. The authorized person of White Cross Drug Store is Max Atiya who is Owner of the pharmacy and his contact number is 619-284-1141. Active license number of White Cross Drug Store is PHY45196 for Long Term Care Pharmacy in California.
White Cross Drug Store 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:
White Cross Drug Store 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: | White Cross Drug Store |
| Type: | Long Term Care Pharmacy |
| Location: | 4074 Fairmount Ave, San Diego, California, 92105-1608 |
| Phone: | 619-284-1141 |
| Fax: | 619-284-0503 |
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: | Max Atiya |
| Position: | Owner |
| Contact Number: | 619-284-1141 |
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: | 1609887199 |
| NPI Enumeration Date: | 10 Aug, 2006 |
| NPI Last Update On: | 31 Aug, 2007 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for White Cross Drug Store are as mentioned below.
| Specialization | License Number | State | Status | |
| Long Term Care Pharmacy | PHY45196 | California | Primary | |
| 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 |
| 0595681 | Other | | Other Id Number |
| PHA451960 | Medicaid | California | |
| 0595681 | Other | | Other Id Number-commercial Number |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 4074 Fairmount Ave, San Diego, California |
| Zip: | 92105-1608 |
| Phone Number: | -- |
Patients can reach White Cross Drug Store at
4074 Fairmount Ave, San Diego, California or can
call on customer care at 619-284-1141.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.