DR. MARK BOUNTHAVONG, PHARM.D.
Pharmacy at La Jolla Village Dr, San Diego, CA

License number
California RPH55969
Category
Pharmacy
Type
Pharmacist
Address
Address
3350 La Jolla Village Dr #119, San Diego, CA 92161
Phone
(858) 552-8585
(858) 552-7522 (Fax)
(213) 268-5425
National Provider ID: 1720272578
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Personal information

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Name
Address
Phone
Mark Bounthavong, age 48
1323 N Coronado St, Los Angeles, CA 90026
(213) 483-7941
Mark Bounthavong
2185 Station Village Way, San Diego, CA 92108
(619) 977-9944

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