| NPI | 1366453953 |
|---|---|
| Doing Business As | PARK BOULEVARD PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RAMSEY ATIYA Director 619-295-3109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: CA PHY45333) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 3336M0002X Pharmacy, Mail Order Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2020-08-22 |