Individual
DR. ALIREZA ALIBANAEI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
552 SESPE AVE, FILLMORE, CA 93015-1957
(805) 242-4575
(818) 436-0518
Mailing address
PO BOX 701, WOODLAND HILLS, CA 91365-0701
(818) 634-4198
(818) 436-0518
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
53427
CA
Other
Enumeration date
10/13/2018
Last updated
12/09/2020
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