Individual
LUPE S IBARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACY TECHNICIAN
Contact information
Practice address
630 E 1ST ST, TUSTIN, CA 92780-3418
(714) 544-7274
(714) 544-3517
Mailing address
2525 W ELDER AVE, SANTA ANA, CA 92704-3111
(714) 697-8288
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
32590
CA
Other
Enumeration date
08/02/2022
Last updated
08/02/2022
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