Individual
DR. CHADI ABDUL NOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH , APH, CDE
Contact information
Practice address
42 WILLOWBROOK LN, PHILLIPS RANCH, CA 91766-4852
(626) 827-2835
(626) 261-4450
Mailing address
42 WILLOWBROOK LN, PHILLIPS RANCH, CA 91766-4852
(626) 827-2835
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
52504
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52504
STATE PHARMACIST LICENSE
CA
Enumeration date
10/04/2006
Last updated
01/09/2018
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