San Diego Optimum Compounding
NPI #1386021780 in Poway, California
Provider Information
- NPI Number
- 1386021780
- Entity Type
- Organization
- Organization Name
- San Diego Optimum Compounding
- Primary Specialty
- Pharmacy
- Enumeration Date
- May 5, 2015
- Last Updated
- Oct 27, 2015
Practice Location
- Address
- 12265 SCRIPPS POWAY PKWY
- Address 2
- SUITE 114
- City
- Poway
- State
- California
- ZIP Code
- 92064-6151
- Phone
- (858) 699-6563
Authorized Official
- Name
- DR. MAII EL-SHATANOUFY, RPH
- Title
- CEO
- Phone
- (858) 699-6563
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
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