Individual
ROSEMARY NWAKAEGO ANYANWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12549 FOOTHILL BLVD, RANCHO CUCAMONGA, CA 91739-9317
(909) 899-7742
(909) 899-1470
Mailing address
16647 PARSLEY LN, FONTANA, CA 92337-7621
(281) 408-3241
(909) 666-7617
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
66773
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
66773
CALIFORNIA LICENSE
CA
Enumeration date
01/19/2018
Last updated
01/19/2018
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