Organization
COUNTY OF SAN DIEGO
Active
Other names
San Diego County HHSA Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LONG VU PHARM.D. (PHARMACY MANAGER)
(619) 692-5636
Entity
Organization
Contact information
Practice address
3851 ROSECRANS ST., RM G35, SAN DIEGO, CA 92110
(619) 692-8033
(619) 692-8034
Mailing address
3851 ROSECRANS ST., RM G35, SAN DIEGO, CA 92110
(619) 692-8033
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
11/30/2021
Last updated
12/17/2021
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