Individual
IBTISSAM N BOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1225 W BAKERVIEW RD, BELLINGHAM, WA 98226-9691
(360) 788-2933
Mailing address
1225 W BAKERVIEW RD, BELLINGHAM, WA 98226-9691
(360) 788-2933
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00011157
WA
Other
Enumeration date
02/24/2012
Last updated
02/24/2012
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