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Individual

JIMSON BACOLOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4550 ATLANTIC AVE, LONG BEACH, CA 90807-1513
(800) 834-8778
Mailing address
4550 ATLANTIC AVE, LONG BEACH, CA 90807-1513

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
56767
CA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
56767
CA

Other

Enumeration date
10/26/2011
Last updated
06/03/2026
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