Individual
DR. ALAN GREGORY SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
13167 BLACK MOUNTAIN RD, SAN DIEGO, CA 92129-2684
(858) 484-2851
Mailing address
13167 BLACK MOUNTAIN RD, SAN DIEGO, CA 92129-2684
(858) 484-2851
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
41085
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41085
CA PHARMACIST LICENSE #
CA
Enumeration date
05/25/2010
Last updated
05/25/2010
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