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San Diego Optimum Compounding Valid NPI

Organization · Pharmacy · Poway, CA

NPI
1386021780
Type
Organization (Type 2)
Primary specialty
Pharmacy
Specialty group
Suppliers
Taxonomy code
333600000X
License number
53633 (CA)
Enumerated
2015-05-05
Last updated
2015-10-27
Practice location
12265 Scripps Poway Pkwy, Suite 114
Poway, CA 92064-6151
(858) 699-6563

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