Organization
NORTH PARK PHARMACY INC
Active
Other names
NORTH PARK PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAHMOUD HABHAB (VICE PRESIDENT)
(619) 955-8081
Entity
Organization
Contact information
Practice address
3445 30TH ST, SAN DIEGO, CA 92104-4117
(619) 955-8081
(619) 955-8084
Mailing address
3445 30TH ST, SAN DIEGO, CA 92104-4117
(619) 955-8081
(619) 955-8084
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY50340
CA
3336C0003X
Community/Retail Pharmacy
Primary
PHY50340
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY50340
BOARD OF PHARMACY PERMIT
CA
Enumeration date
11/09/2010
Last updated
11/09/2010
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