# ENTAG INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Medicine Care Pharmacy II
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083786867
- **Authorized official:** MOHAMMAD FATHIE (CFO)
- **Authorized official phone:** (619) 200-3927

## Contact information

- **Practice address:** 1685 E MAIN ST, STE 101, EL CAJON, CA 92021-5225
- **Practice address phone:** (619) 383-2757
- **Practice address fax:** (619) 956-3136
- **Mailing address:** 1685 E MAIN ST, STE 101, EL CAJON, CA 92021-5225
- **Mailing address phone:** (619) 383-2757
- **Mailing address fax:** (858) 429-5780

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | PHY49784 | CA | Yes |

## Other

- **Enumeration date:** 11/15/2006
- **Last updated:** 08/10/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2001246 | PK | — |
| 05 | — | 3354331 | — | CA |
| 05 | — | PHA433180 | — | CA |