Organization
MATDAN LJ INC
Active
Parent organization
MERCY CARE PHARMACY
Other names
Mercy Care Pharmacy Home LTC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY CARE PHARMACY
Authorized official
BASSAM MASSAAD RPH (OWNER)
(760) 294-0014
Entity
Organization
Contact information
Practice address
488 E VALLEY PKWY STE 101, ESCONDIDO, CA 92025-3324
(760) 294-0014
(760) 294-0066
Mailing address
488 E VALLEY PKWY STE 101, ESCONDIDO, CA 92025-3324
(760) 294-0014
(760) 294-0066
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51469
BOARD OF PHARMACY
CA
Enumeration date
10/09/2024
Last updated
10/17/2024
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