Individual
BISHOY TANNIOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
44503 16TH ST W STE 101, LANCASTER, CA 93534-2886
(661) 945-8066
Mailing address
7742 DARBY AVE, RESEDA, CA 91335-2094
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
71747
CA
Other
Enumeration date
11/23/2015
Last updated
11/23/2015
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