Organization
MEDICAL CENTER PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE AWAD RPH (PHARMACIST / OWNER)
(619) 997-4702
Entity
Organization
Contact information
Practice address
3904 PARK BLVD., SAN DIEGO, CA 92103
(619) 295-3109
(619) 295-6478
Mailing address
3904 PARK BLVD., SAN DIEGO, CA 92103
(619) 295-3109
(619) 295-6478
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHY49081
CA
Other
Enumeration date
01/03/2012
Last updated
01/03/2012
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