Individual
KHALED ELDEMERDASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1220 S VISTA AVE STE A, BOISE, ID 83705-2530
(816) 405-2406
Mailing address
PO BOX 934, CAMARILLO, CA 93011-0934
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
89376
CA
183500000X
Pharmacist
9561972
ID
Other
Enumeration date
06/24/2024
Last updated
03/28/2026
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