Organization
CEDAR PHARMACY INC
Active
Other names
cedar pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERNARD GRAMLICH (CEO)
(858) 536-7799
Entity
Organization
Contact information
Practice address
10737 CAMINO RUIZ, SAN DIEGO, CA 92126-2361
(858) 536-7799
(858) 536-7716
Mailing address
10737 CAMINO RUIZ, #138, SAN DIEGO, CA 92126
(858) 536-7799
(858) 536-7716
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PHY46203
CA
333600000X
Pharmacy
Primary
PHY46203
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA462030
—
CA
Enumeration date
11/09/2005
Last updated
03/27/2008
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