Organization
SAN JUAN PHARMACY
Active
Other names
San Juan Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN SUH (OWNER)
(949) 493-4559
Entity
Organization
Contact information
Practice address
31901 CAMINO CAPISTRANO, SUITE #8, SAN JUAN CAPISTRANO, CA 92675-3238
(949) 493-4559
(949) 493-8247
Mailing address
31901 CAMINO CAPISTRANO, SUITE #8, SAN JUAN CAPISTRANO, CA 92675-3238
(949) 493-4559
(949) 493-8247
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
CA
333600000X
Pharmacy
Primary
—
CA
3336C0003X
Community/Retail Pharmacy
—
CA
3336C0004X
Compounding Pharmacy
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA410280
—
CA
Enumeration date
09/02/2006
Last updated
09/20/2008
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