Organization
LA MAESTRA FAMILY CLINIC, INC.
Active
Other names
La Maestra Community Pharmacy National City
Organization subpart
No
Provider details
NPI number
Authorized official
TOM VU (CHIEF OF CORPORATE COMPLIANCE)
(619) 269-1292
Entity
Organization
Contact information
Practice address
209 HIGHLAND AVE, NATIONAL CITY, CA 91950-1518
(619) 255-9164
Mailing address
4060 FAIRMOUNT AVE, SAN DIEGO, CA 92105-1608
(619) 972-4165
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
—
CA
Other
Enumeration date
01/24/2018
Last updated
01/24/2018
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