Individual
ALYA MAKAREM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23330 EL TORO RD, LAKE FOREST, CA 92630-4807
(959) 830-4422
Mailing address
23330 EL TORO RD, LAKE FOREST, CA 92630-4807
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
57102
CA
Other
Enumeration date
08/26/2016
Last updated
08/26/2016
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