Organization
THEOTOKOS, LLC
Active
Organization
THEOTOKOS, LLC
Active
Other names
PureCare Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MINA SAID PHARMD (MANAGER)
(858) 925-6149
Entity
Organization
Contact information
Practice address
5550 CARMEL MOUNTAIN RD STE 111, SAN DIEGO, CA 92130
(559) 280-1285
Mailing address
5550 CARMEL MOUNTAIN RD STE 111, SAN DIEGO, CA 92130-4861
(858) 925-6149
(858) 925-6146
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
55934
CA
3336C0002X
Clinic Pharmacy
55934
CA
3336C0003X
Community/Retail Pharmacy
Primary
55934
CA
3336C0004X
Compounding Pharmacy
55934
CA
3336S0011X
Specialty Pharmacy
55934
CA
Other
Enumeration date
11/16/2017
Last updated
03/03/2025
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