Individual
ANDREW MANSOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
580 MORAGA RD, MORAGA, CA 94556-2211
(925) 631-0204
Mailing address
580 MORAGA RD, MORAGA, CA 94556-2211
(925) 631-0204
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
82447
CA
1835P1200X
Pharmacotherapy Pharmacist
82447
CA
Other
Enumeration date
08/11/2020
Last updated
08/11/2020
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