Organization
PACIFIC DIAGNOSTICS, INC.
Active
Other names
SD RX
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDRE BAGDASSARIAN (PRESIDENT/CEO)
(858) 524-6199
Entity
Organization
Contact information
Practice address
15725 POMERADO RD STE 108, POWAY, CA 92064-2058
(858) 524-6199
(619) 732-5555
Mailing address
15725 POMERADO RD STE 108, POWAY, CA 92064-2058
(858) 524-6199
(619) 732-5555
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY60057
BOARD OF PHARMACY
CA
Enumeration date
02/21/2022
Last updated
09/12/2024
Update your record
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