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Individual provider · Pharmacist · Thousand Oaks, CA

NPI
1174034045
Type
Individual (Type 1)
Primary specialty
Pharmacist
Specialty group
Pharmacy Service Providers
Taxonomy code
183500000X
License number
70953 (CA)
Sex
Female
Sole proprietor
No
Enumerated
2017-10-19
Last updated
2017-10-19
Practice location
215 W Janss Rd
Thousand Oaks, CA 91360-1847
(805) 370-4551

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