Poway Pharmacy LLC
NPI #1831613793 in Poway, California
Provider Information
- NPI Number
- 1831613793
- Entity Type
- Organization
- Organization Name
- Poway Pharmacy LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Aug 1, 2017
- Last Updated
- Mar 13, 2018
Practice Location
- Address
- 14837 POMERADO RD
- City
- Poway
- State
- California
- ZIP Code
- 92064-2803
- Phone
- (858) 842-4206
Authorized Official
- Name
- MR. GHOLAM ROUZITALAB, PHARM.D.
- Title
- PHARMACIST IN CHARGE
- Phone
- (858) 842-4206
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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