Individual
AMITKUMAR NARHARIBHAI THAKKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, PHARMD
Contact information
Practice address
25710 BARTON ROAD, LOMA LINDA, CA 92354
(909) 799-0591
Mailing address
150 S MAGNOLIA AVE, APT 243, ANAHEIM, CA 92804
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
67520
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
67520
PHARMACIST STATE LICENSE NUMBER
CA
Enumeration date
09/13/2012
Last updated
09/13/2012
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