Individual
JOHN CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
1150 BROADWAY, CHULA VISTA, CA 91911-2707
(619) 591-4909
(619) 591-4913
Mailing address
1150 BROADWAY, CHULA VISTA, CA 91911-2707
(619) 591-4909
(619) 591-4913
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
42140
CA
Other
Enumeration date
09/17/2014
Last updated
09/17/2014
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