Individual
ANA CREPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D.
Contact information
Practice address
1376 3RD AVE, CHULA VISTA, CA 91911-4303
(619) 691-0662
(619) 691-6811
Mailing address
1376 3RD AVE, CHULA VISTA, CA 91911-4303
(619) 691-0662
(619) 691-6811
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
64043
CA
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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