Organization
SAN DIEGO PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE TO (OWNER)
(619) 283-3233
Entity
Organization
Contact information
Practice address
4711 UNIVERSITY AVE, SAN DIEGO, CA 92105-1903
(619) 283-3233
(619) 283-9118
Mailing address
4711 UNIVERSITY AVE, SAN DIEGO, CA 92105-1903
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY39527
CA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5617280
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
PHA395270
—
CA
Enumeration date
06/12/2006
Last updated
09/11/2025
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