Individual
MYRNA IBANEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
222 N MARKET ST, INGLEWOOD, CA 90301-1217
(310) 671-2386
(310) 671-5841
Mailing address
222 N MARKET ST, INGLEWOOD, CA 90301-1217
(310) 671-2386
(310) 671-5841
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
RPH 43212
CA
Other
Enumeration date
06/08/2016
Last updated
06/08/2016
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