Individual
DR. AUGUSTINE ATIYOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1345 W HOBSONWAY, BLYTHE, CA 92225-1425
(760) 921-2017
(760) 921-2020
Mailing address
740 OLEANDER LN, BLYTHE, CA 92225-1322
(760) 922-5966
(760) 921-2020
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
46883
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B3980609
STATE OF CALIFORNIA
CA
Enumeration date
01/09/2013
Last updated
01/09/2013
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