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Clara Lucky Polak Md, Inc.
Non-Pharmacy Dispensing Site in Chula Vista, California
NPI 1356586465

Clara Lucky Polak Md, Inc. is a Non-Pharmacy Dispensing Site based in San Diego, CA. Clara Lucky Polak Md, Inc. practices in Chula Vista, CA. The NPI Number for Clara Lucky Polak Md, Inc. is 1356586465 and holds a License No. A66649 (California).

The current practice location address for Clara Lucky Polak Md, Inc. is 480 4Th Ave, Chula Vista, CA and can be reached out via phone at 619-427-3361.

Location: 480 4Th Ave, Chula Vista, CA, 92121-7701
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356586465
Provider Name
Clara Lucky Polak Md, Inc.
Credential
Provider Entity Type
Organization
Address
480 4Th Ave, Chula Vista, CA, 92121-7701
Phone Number
619-427-3361
Fax Number
Provider Enumeration Date
12/04/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
480 4Th Ave
City
Chula Vista
State
California
Zip
91910-4410
Phone Number
619-427-3361
Fax Number
person
Provider Business Mailing Address Details
Address
480 4Th Ave
City
Chula Vista
State
California
Zip
91910-4410
Phone Number
619-427-3361
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
332900000X
License No.
A66649 (California)
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
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