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Individual

MARYSE BOULANGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM D

Contact information

Practice address
5601 DE SOTO AVE, KAISER PERMANENTE - PHARMACY ADMINISTRATION, WOODLAND HILLS, CA 91367-6701
(818) 719-2012
Mailing address
5601 DE SOTO AVE, KAISER PERMANENTE - PHARMACY ADMINISTRATION, WOODLAND HILLS, CA 91367-6701
(818) 719-2012

Taxonomy

Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
RPH37545
CA

Other

Enumeration date
11/03/2006
Last updated
07/08/2007
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