# ELDAHMY WELLNESS PHARMACY INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003374554
- **Authorized official:** AHMED ELDAHMY PHARMD (PIC)
- **Authorized official phone:** (619) 869-5895

## Contact information

- **Practice address:** 1985 NATIONAL AVE, SAN DIEGO, CA 92113-2154
- **Practice address phone:** (619) 331-1111
- **Practice address fax:** (619) 331-1122
- **Mailing address:** 1985 NATIONAL AVE STE 1103, SAN DIEGO, CA 92113-2155
- **Mailing address phone:** (619) 331-1111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 03/04/2019
- **Last updated:** 03/04/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 11841339834 | — | CA |