Organization
FAMILY PHARMACY LTC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOOR MIKHAIL (MANAGER)
(619) 905-7722
Entity
Organization
Contact information
Practice address
340 4TH AVE STE 1, CHULA VISTA, CA 91910-3882
(619) 373-1477
(619) 737-4170
Mailing address
250 E CHASE AVE STE 108, EL CAJON, CA 92020-6305
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
08/26/2024
Last updated
04/14/2026
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