Individual
ANDREAS ICHWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
27400 HESPERIAN BLVD, HAYWARD, CA 94545-4235
(510) 784-4461
(510) 784-6710
Mailing address
27400 HESPERIAN BLVD, HAYWARD, CA 94545-4235
(510) 784-4461
(510) 784-6710
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
48776
CA
Other
Enumeration date
05/03/2012
Last updated
05/03/2012
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