4TH STREET PHARMACY, INC
Suppliers at 4 Ave, San Diego, CA

License number
California 50831
Category
Suppliers
Type
Community/Retail Pharmacy
Owner
Name: MR. JOSEPH GRASELA RPH
Title: OWNER/PIC
Phone: (619) 683-2005
Address
Address
1765 4Th Ave, San Diego, CA 92101
National Provider ID: 1265795447
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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4TH STREET PHARMACY INC

San Diego, CA

Registration:
Sep 27, 2011
Addresses:
1875 3 Ave, San Diego, CA 92101 (Physical)
4767 Ocean Blvd, San Diego, CA 92109
State ID:
C3412671
Business type:
Articles of Incorporation
President:
Joseph E. Grasela (President)
Agent:
Joseph Grasela,San Diego, CA 92101 (Physical)

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