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Individual

BISHOY ATTA TAWFIK SHEHATA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
323 S HELIOTROPE AVE, MONROVIA, CA 91016-2914
(626) 408-9858
Mailing address
323 S HELIOTROPE AVE, MONROVIA, CA 91016-2914
(626) 408-9858

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
70066
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
70066
REGISTERED PHARMACIST LICENSE
CA
Enumeration date
08/16/2016
Last updated
10/04/2022
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