Individual
CHARMAINE ADENDORFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
29525 CANWOOD ST, AGOURA HILLS, CA 91301-4233
(818) 706-8099
Mailing address
254 N MARCELLO AVE, NEWBURY PARK, CA 91320-3638
(805) 338-8528
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
57742
CA
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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