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Organization
RITEAID
Active
Organization
RITEAID
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWILL NABIL ANWAR TADRES (PHARMACY MANAGER)
(510) 688-5954
Entity
Organization
Contact information
Practice address
1688 N PERRIS BLVD, PERRIS, CA 92571-4709
(951) 943-6868
Mailing address
28343 WARE ST, MURRIETA, CA 92563-4408
(510) 688-5954
(951) 943-9265
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
67007
CA
Other
Enumeration date
06/05/2014
Last updated
06/05/2014
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