Organization
BOTROSONS PHARMACEUTICAL INC
Active
Other names
TOWER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SAMIH BOTROS RPH (PIC)
(949) 364-1200
Entity
Organization
Contact information
Practice address
26732 CROWN VALLEY PKWY, SUITE 101, MISSION VIEJO, CA 92691-6306
(949) 364-1200
(949) 364-7240
Mailing address
26732 CROWN VALLEY PKWY, SUITE 101, MISSION VIEJO, CA 92691-6306
(949) 364-1200
(949) 364-7240
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY46688
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0593649
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
PHA466880
—
CA
Enumeration date
09/20/2006
Last updated
06/12/2013
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