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Organization

PROFUSION LLC

Active
Other names
Profusion Specialty Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
DENA ESTRADA (OWNER)
(619) 537-7900
Entity
Organization

Contact information

Practice address
7250 ENGINEER RD STE D, SAN DIEGO, CA 92111-1420
(619) 537-7900
(858) 384-6495
Mailing address
7250 ENGINEER RD STE D, SAN DIEGO, CA 92111-1420
(619) 537-7900
(858) 384-6495

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY54335
CA
3336S0011X
Specialty Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2162315
PK
Enumeration date
08/02/2016
Last updated
10/17/2022
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