Individual
ANDRE BAGHOOMIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3301 ZINFANDEL DR, RANCHO CORDOVA, CA 95670-6385
(916) 852-8332
Mailing address
3301 ZINFANDEL DR, RANCHO CORDOVA, CA 95670-6385
(916) 852-8332
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
75028
CA
Other
Enumeration date
09/29/2016
Last updated
09/29/2016
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