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Clark Botha, BPHARM, RPH
NPI 1639385404 · on the registry since 2007
Practice
- Address
- 81 Highland Springs Ave Ste 90
Beaumont, CA 92223 - Phone
- (951) 849-3378
- Organisation at this address
- Beaver Medical Group Lp
Mariam Moghadam, M.D., Inc.
Faculty Medical Group Of Llusm
Loma Linda University Radiation Medicine
Faculty Physicians And Surgeons Of LlusmInferred from a shared address, not stated in the registry. - Clinicians at this address
- 21
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
- 2019-12-27
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