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Individual

SOUZAN AOUROUT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
703 N HYACINTH AVE, WEST COVINA, CA 91791-1046
(818) 288-1674
Mailing address
703 N HYACINTH AVE, WEST COVINA, CA 91791-1046
(818) 288-1674

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
79927
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
F3045262
DMV
CA
Enumeration date
02/19/2019
Last updated
11/14/2025
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