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Search › California › 183500000X

Shady Dous

NPI 1245644426 · on the registry since 2014 · sole proprietor

Practice

Address
2132 High St
Selma, CA 93662
Phone
(559) 318-9646
Organisation at this address
Selma Pharmacy Corp
Selma Pharmacy Corp
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-11-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California