Provider Demographics
NPI:1821619271
Name:DIB PHARMACEUTICAL INC
Entity Type:Organization
Organization Name:DIB PHARMACEUTICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NADIM
Authorized Official - Middle Name:K
Authorized Official - Last Name:DIB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-605-0000
Mailing Address - Street 1:528 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92020-4008
Mailing Address - Country:US
Mailing Address - Phone:619-605-0000
Mailing Address - Fax:619-558-3500
Practice Address - Street 1:528 E MAIN ST
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92020-4008
Practice Address - Country:US
Practice Address - Phone:619-605-0000
Practice Address - Fax:619-558-3500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-27
Last Update Date:2020-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy