San Diego Compounding Pharmacy
Pharmacy, Community/Retail Pharmacy in San Diego, CA. Organization (NPI-2).
NPI number1730257593
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1730257593
- Entity type
- Organization (NPI-2)
- Legal business name
- San Diego Compounding Pharmacy
- Organization subpart
- No
- Enumeration date
- Dec 1, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | PHY99276 | CA | Yes |
Practice location
5395 Ruffin Road#104
San Diego, CA 92123
Phone 858-277-8884 · Fax 858-277-8889
Mailing address
5395 Ruffin Road#104
San Diego, CA 92123
Phone 858-277-8884 · Fax 858-277-8889
Authorized official
Jerome Alan Greene
Pharmacist Owner
8582778884
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