Provider Demographics
NPI:1881415446
Name:MASS DRUGS INC
Entity type:Organization
Organization Name:MASS DRUGS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BASSAM
Authorized Official - Middle Name:
Authorized Official - Last Name:MASSAAD
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:858-336-3624
Mailing Address - Street 1:505 N MOLLISON AVE STE 101A
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92021-6159
Mailing Address - Country:US
Mailing Address - Phone:619-446-6444
Mailing Address - Fax:619-749-0393
Practice Address - Street 1:505 N MOLLISON AVE STE 101A
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92021-6159
Practice Address - Country:US
Practice Address - Phone:619-446-6444
Practice Address - Fax:619-749-0393
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MOLLISON PHARMACY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-10-17
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA54535OtherBOARD OF PHARMACY