Individual
NICOLE MARIE BILAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1303 SEPULVEDA BLVD, TORRANCE, CA 90501-5002
(310) 784-1351
(310) 784-1369
Mailing address
1303 SEPULVEDA BLVD, TORRANCE, CA 90501-5002
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
75967
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124453030
—
CA
Enumeration date
06/04/2017
Last updated
06/04/2017
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