Organization
CKY PHARMACY INC
Active
Other names
OTAY LAKES PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CECILE MARIE ALCARAZ RPH (PRESIDENT/PIC)
(858) 583-0318
Entity
Organization
Contact information
Practice address
945 OTAY LAKES RD STE J, CHULA VISTA, CA 91913-3055
(619) 326-9034
(619) 326-9045
Mailing address
945 OTAY LAKES RD STE J, CHULA VISTA, CA 91913-3055
(619) 326-9034
(619) 326-9045
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
53479
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2154175
PK
—
Enumeration date
09/15/2015
Last updated
04/14/2017
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