Organization
PARK MEDICAL PHARMACY
Active
Other names
Community Medical Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE AWAD RPH (OWNER)
(619) 997-4702
Entity
Organization
Contact information
Practice address
750 MEDICAL CENTER CT, STE 1, CHULA VISTA, CA 91911-6634
(619) 421-1131
(619) 421-7405
Mailing address
750 MEDICAL CENTER CT, STE 1, CHULA VISTA, CA 91911-6634
(619) 421-1131
(619) 421-7405
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY50578
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2128995
PK
—
Enumeration date
02/14/2011
Last updated
03/11/2016
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