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Individual

ARQUIMEDES JOSE BETANCOURT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMACIST

Contact information

Practice address
19266 SOLEDAD CYN, CANYON COUNTRY, CA 91351-3366
(661) 251-9433
Mailing address
14725 SUNDANCE PL, CANYON COUNTRY, CA 91387-1542
(661) 424-0526

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
45652
CA

Other

Enumeration date
09/12/2011
Last updated
09/12/2011
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