Fareed Entezar Valid NPI
Individual provider · Pharmacist · Tustin, CA
- NPI
- 1619443835
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 46833 (CA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2018-10-15
- Last updated
- 2018-10-15
Practice location
14642 Newport Ave
Tustin, CA 92780-6057
(714) 669-4000