Individual
BUU-ANH CHI TA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
30015 DATE PALM DR, CATHEDRAL CITY, CA 92234-2822
(760) 770-3659
(760) 770-4203
Mailing address
9364 BUNNY LN, FONTANA, CA 92335-2511
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
65196
CA
Other
Enumeration date
09/13/2011
Last updated
09/13/2011
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