Healthcare Provider Details

I. General information

NPI: 1487066601
Provider Name (Legal Business Name): MAY A MOHAMMED SALIH R.PH.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/22/2014
Last Update Date: 05/22/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3851 ROSECRANS ST
SAN DIEGO CA
92110-3115
US

IV. Provider business mailing address

8031 WINTER GARDENS BLVD APT 30
EL CAJON CA
92021-1481
US

V. Phone/Fax

Practice location:
  • Phone: 619-692-8030
  • Fax:
Mailing address:
  • Phone: 518-253-9766
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH68852
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: