Organization
IRX PHARMACY SOUTH INC.
Active
Other names
Carmel Valley Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TAREK ELANSARY PHARM.D. (PRESIDENT/PHARMACIST IN CHARGE)
(858) 481-4990
Entity
Organization
Contact information
Practice address
12750 CARMEL COUNTRY RD, STE A101, SAN DIEGO, CA 92130-2159
(858) 481-4990
(858) 481-4949
Mailing address
12750 CARMEL COUNTRY RD, STE A101, SAN DIEGO, CA 92130-2159
(858) 481-4990
(858) 481-4949
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
PHY51644
CA
Other
Enumeration date
12/18/2013
Last updated
12/18/2013
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