Individual
DR. ADAM TABORGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4100 194TH ST SW, LYNNWOOD, WA 98036-4613
(800) 766-0122
Mailing address
PO BOX 152761, SAN DIEGO, CA 92195-2761
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
76228
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
76228
PHARMACIST LICENSE
CA
Enumeration date
02/18/2017
Last updated
05/17/2021
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