Organization
KOMAKI ENTERPRISES, INC
Active
Other names
PILLCO PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD SAIJI KOMAKI PHARM D (PRESIDENT)
(619) 561-5602
Entity
Organization
Contact information
Practice address
8575 LOS COCHES RD, SUITE 5, EL CAJON, CA 92021-8815
(619) 561-5602
(619) 561-5933
Mailing address
8575 LOS COCHES RD, SUITE 5, EL CAJON, CA 92021-8815
(619) 561-5602
(619) 561-5933
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PHY42161
CA
333600000X
Pharmacy
PHY42161
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0597611
NCPDP NUMBER
—
05
—
PHA421610
—
CA
01
—
PHY42161
STATE LICENSE NUMBER
CA
Enumeration date
10/20/2005
Last updated
09/11/2025
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