Individual
ADAM HICHAM DERKOUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
5239 E HUNTINGTON AVE APT 202, FRESNO, CA 93727-4020
(917) 547-0767
Mailing address
6885 N WILLOW AVE, FRESNO, CA 93710-5949
(559) 322-0698
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
74579
CA
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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