Individual
ANDRE DZHAMBAZIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11080 MAGNOLIA AVE, RIVERSIDE, CA 92505-3047
(951) 602-4120
Mailing address
PO BOX 21084, GLENDALE, CA 91221-5184
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
88508
CA
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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