Individual
AICHA BOUABDALLAOUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2525 S ALPINE RD, ROCKFORD, IL 61108-7812
(815) 227-9861
(815) 227-5636
Mailing address
2525 S ALPINE RD, ROCKFORD, IL 61108-7812
(815) 227-9861
(815) 227-5636
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051301734
IL
Other
Enumeration date
08/25/2020
Last updated
08/28/2020
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