Individual
RAMI ELATTAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH, BCOP
Contact information
Practice address
850 FAIR OAKS AVE STE 300, ARROYO GRANDE, CA 93420-3929
(805) 474-5322
Mailing address
2815 S HOLT AVE, LOS ANGELES, CA 90034-2510
(617) 943-3646
Taxonomy
Speciality
Code
Description
License number
State
1835X0200X
Oncology Pharmacist
Primary
72614
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5151457
BOARD OF PHARMACY SPECIALTIES - BOARD CERTIFIED ONCOLOGY PHARMACIST
—
01
—
72614
CALIFORNIA BOARD OF PHARMACY - REGISTERED PHARMACIST LICENSE
CA
Enumeration date
04/27/2020
Last updated
04/27/2020
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