Provider profile · NPI 1962938027

Supraja Abbu

Pharmacist · Escondido, CA · NPI 1962938027 · No federal exclusion match

✔ Verified against the public CMS NPPES registry & HHS-OIG LEIE as of Jun 21, 2026. Source-linked, daily-refreshed. Public data only — no PHI.

Registry details

Type

Individual

Primary specialty

Pharmacist

Enumerated

May 11, 2017

License(s)

63979 (CA)

Addresses on file

PurposeAddressCity/StatePhone
MAILING1665 E VALLEY PKWY Escondido, CA 92027-2408760-747-2500
LOCATION1665 E VALLEY PKWY Escondido, CA 92027-2408760-747-2500

View on NPPES registry ↗

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