Individual
BASSAM AZZAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS PHARMACY
Contact information
Practice address
36450 INLAND VALLEY DR, WILDOMAR, CA 92595
(951) 600-3322
(951) 600-3370
Mailing address
36450 INLAND VALLEY DR, WILDOMAR, CA 92595-9583
(951) 600-3322
(951) 600-3370
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
32815
CA
Other
Enumeration date
02/16/2017
Last updated
02/16/2017
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