Individual
AUSTIN OEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
4647 ZION AVE, SAN DIEGO, CA 92120-2507
(619) 528-5000
Mailing address
4647 ZION AVE, SAN DIEGO, CA 92120-2507
(619) 528-5000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
60287
CA
Other
Enumeration date
08/04/2010
Last updated
08/04/2010
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