Organization
SSMENA PHARM INC
Active
Organization
SSMENA PHARM INC
Active
Other names
Ramsay Rexall drug
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NABIL BOTROS PHD (OWNER AND PIC)
(949) 646-7744
Entity
Organization
Contact information
Practice address
2346 NEWPORT BLVD STE A5, COSTA MESA, CA 92627-1594
(949) 647-7744
(949) 646-4614
Mailing address
2346 NEWPORT BLVD #A5, COSTA MESA, CA 92627
(949) 647-7744
(949) 646-4614
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY44386
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000584
PK
—
05
—
PHA443860
—
CA
Enumeration date
09/20/2006
Last updated
04/28/2026
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