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Individual

DR. AMIR KATIV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
1893 W MALVERN AVE, TARGET PHARMACY STORE NUMBER T-1383, FULLERTON, CA 92833-2403
(714) 278-9022
(714) 278-9022
Mailing address
1893 W MALVERN AVE, TARGET PHARMACY STORE NUMBER T-1383, FULLERTON, CA 92833-2403
(714) 278-9022
(714) 278-9022

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
58684
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PHY45555
CA
Enumeration date
07/01/2011
Last updated
07/01/2011
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