Individual
MICHELLE CENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
15615 POMERADO RD, POWAY, CA 92064-2405
(858) 613-4654
(858) 613-5679
Mailing address
15615 POMERADO RD, POWAY, CA 92064-2405
(858) 613-4654
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
60871
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60871
CA REGISTERED PHARMACIST LICENSE
CA
Enumeration date
02/27/2023
Last updated
02/27/2023
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