Individual
AUGUSTA IKHILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10633 INTERNATIONAL BLVD, OAKLAND, CA 94603-3805
(510) 589-3265
Mailing address
183 WINTER LN, MOUNTAIN HOUSE, CA 95391-1000
(510) 589-3265
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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