Organization
ELDAHMY WELLNESS PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMED ELDAHMY PHARMD (PIC)
(619) 869-5895
Entity
Organization
Contact information
Practice address
1985 NATIONAL AVE, SAN DIEGO, CA 92113-2154
(619) 331-1111
(619) 331-1122
Mailing address
1985 NATIONAL AVE STE 1103, SAN DIEGO, CA 92113-2155
(619) 331-1111
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11841339834
—
CA
Enumeration date
03/04/2019
Last updated
03/04/2019
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