Organization
SAN DIEGO OPTIMUM COMPOUNDING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAII EL-SHATANOUFY RPH (CEO)
(858) 699-6563
Entity
Organization
Contact information
Practice address
12265 SCRIPPS POWAY PKWY, SUITE 114, POWAY, CA 92064-6151
(858) 699-6563
Mailing address
12265 SCRIPPS POWAY PKWY, SUITE 114, POWAY, CA 92064-6151
(858) 699-6563
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
53633
CA
Other
Enumeration date
05/05/2015
Last updated
10/27/2015
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