Individual
BANSARI RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1540 W FOOTHILL BLVD, UPLAND, CA 91786-3653
(909) 920-0942
Mailing address
23403 ROBINBROOK PL, DIAMOND BAR, CA 91765-2635
(909) 263-3259
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
71130
CA
Other
Enumeration date
01/02/2017
Last updated
07/21/2022
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