Organization
SAN MARCOS PHARMACY INC
Active
Other names
Santa Maria Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SOLIMAN RPH (OWNER)
(562) 630-1620
Entity
Organization
Contact information
Practice address
16279 PARAMOUNT BLVD STE G, PARAMOUNT, CA 90723-5421
(562) 630-1620
(562) 630-1720
Mailing address
16279 PARAMOUNT BLVD, UNIT G, PARAMOUNT, CA 90723-5421
(562) 630-1620
(562) 630-1720
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY53623
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2143355
PK
—
Enumeration date
07/15/2006
Last updated
08/21/2023
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