Individual
MR. MALCOLM HARDIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3575 ATLANTIC AVE, LONG BEACH, CA 90807-4515
(562) 997-8743
Mailing address
3575 ATLANTIC AVE, LONG BEACH, CA 90807-4515
(562) 997-8743
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
29668
CA
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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