Organization
PENASQUITOS PHARMACY
Active
Other names
PENASQUITOS PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD BURDENHOLZER RPH (OWNER PHARMACIST)
(858) 484-2880
Entity
Organization
Contact information
Practice address
9917 CARMEL MOUNTAIN RD, SAN DIEGO, CA 92129-2813
(858) 484-2880
Mailing address
9917 CARMEL MOUNTAIN RD, SAN DIEGO, CA 92129-2813
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY32769
CA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0570110
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
PHA327690
—
CA
Enumeration date
08/10/2006
Last updated
09/11/2025
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