| NPI | 1508877002 |
|---|---|
| Doing Business As | SAN DIEGO COMPOUNDING PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JEROME GREENE Owner 858-277-8884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY47015) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2016-08-22 |