Shawki Bachoua
Community/Retail Pharmacy
779 Palm Ave, Imperial Beach
California, 91932-1234
619-424-5164 619-423-8492
Shawki Bachoua is not a DME supplier for medicare equipments and products.
Shawki Bachoua is a Community/Retail Pharmacy in Imperial Beach, California. It is located at 779 Palm Ave, Imperial Beach and it's customer support contact number is 619-424-5164. The authorized person of Shawki Bachoua is Shawki Bachoua who is Owner of the pharmacy and his contact number is 619-424-5559. Active license number of Shawki Bachoua is PHY43632 for Community/Retail Pharmacy in California.
Shawki Bachoua is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Shawki Bachoua type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Shawki Bachoua |
| Type: | Community/Retail Pharmacy |
| Location: | 779 Palm Ave, Imperial Beach, California, 91932-1234 |
| Phone: | 619-424-5164 |
| Fax: | 619-423-8492 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Shawki Bachoua |
| Position: | Owner |
| Contact Number: | 619-424-5559 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1417968090 |
| NPI Enumeration Date: | 10 Aug, 2006 |
| NPI Last Update On: | 10 Dec, 2009 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shawki Bachoua are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | PHY43632 | California | Primary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| PHA436320 | Medicaid | California | |
| 0534001 | Other | | Ncpdp Provider Identification Number |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 779 Palm Ave, Imperial Beach, California |
| Zip: | 91932-1234 |
| Phone Number: | 619-424-5164 |
| Fax Number: | 619-423-8492 |
Patients can reach Shawki Bachoua at
779 Palm Ave, Imperial Beach, California or can
call on customer care at 619-424-5164.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.