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NPI 1598048662 · on the registry since 2011

Practice

Address
9031 Rosecrans Ave
Bellflower, CA 90706
Phone
(562) 531-1557
Fax
(562) 531-7215
Organisation at this address
Walgreen Co
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
Pharmacist
183500000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-09-24

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