Organization
MCP/SVDPV LLC
Active
Other names
Medical Center Pharmacy at Father Joes Villages
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN FARIS RPH (CEO)
(360) 220-4818
Entity
Organization
Contact information
Practice address
16 15TH STREET, SAN DIEGO, CA 92101
(619) 323-2878
(619) 310-9323
Mailing address
851 COHO WAY STE 312, BELLINGHAM, WA 98225-2066
(360) 685-4263
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
09/13/2019
Last updated
09/13/2019
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