Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Mark Bounthavong, PHARMD

Individual provider Pharmacist · NPI 1720272578

Dr. Mark Bounthavong, PHARMD is a Pharmacist in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

3350 La Jolla Village Dr # 119
San Diego, CA 92161-0002
Phone: (858) 552-8585
Fax: (858) 552-7522
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence RPH55969 (CA)

Record details

NPI number1720272578
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorYes
NPI enumeratedSeptember 4, 2007
Last updated in NPPESSeptember 4, 2007

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