Organization
LA MAESTRA FAMILY CLINIC INC
Active
Other names
LA MAESTRA COMMUNITY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ZARA MARSELIAN PHARM.D. (CHIEF EXECT OFFICER)
(619) 857-2062
Entity
Organization
Contact information
Practice address
4060 FAIRMOUNT AVE, SAN DIEGO, CA 92105-1608
(619) 564-7014
(619) 564-7015
Mailing address
4060 FAIRMOUNT AVE, SAN DIEGO, CA 92105-1608
(619) 564-7014
(619) 564-7015
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
48728
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2113283
PK
—
Enumeration date
03/07/2008
Last updated
09/19/2025
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