Organization
C&A MEDICAL 1
Active
Other names
Advance Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MARYAM SHARAFSALEH PHARMD (OWNER/PHARMACIST)
(760) 489-7077
Entity
Organization
Contact information
Practice address
528 N BROADWAY, ESCONDIDO, CA 92025-2720
(760) 489-7077
(760) 489-7040
Mailing address
528 N BROADWAY, ESCONDIDO, CA 92025-2720
(760) 489-7077
(760) 489-7040
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
PHY 48629
CA
Other
Enumeration date
04/29/2010
Last updated
04/29/2010
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