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Individual

ANKITKUMAR VAGHASIYA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1306 MAIN ST STE 102, RAMONA, CA 92065-2127
(760) 440-0550
(760) 440-0587
Mailing address
1306 MAIN ST STE 102, RAMONA, CA 92065-2127
(760) 440-0550
(760) 440-0587

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
78290
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00
NOT APPLICABLE
CA
01
00
NOT APPLICABLE
Enumeration date
05/05/2019
Last updated
12/31/2019
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