Individual
MR. BORIS ANDREW PEREIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
310 W LAKE ST, MOUNT SHASTA, CA 96067-2119
(530) 926-3826
(530) 926-3826
Mailing address
908 MCCLOUD AVE, MOUNT SHASTA, CA 96067-9455
(530) 926-1308
(530) 926-1308
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28063
CA
Other
Enumeration date
04/15/2011
Last updated
04/15/2011
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