Individual
DR. BEAU ROBIDEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
3350 LA JOLLA VILLAGE DR, OUTPATIENT PHARMACY, SAN DIEGO, CA 92161-0002
(858) 552-1669
Mailing address
3350 LA JOLLA VILLAGE DR, OUTPATIENT PHARMACY, SAN DIEGO, CA 92161-0002
(858) 552-1669
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
66107
CA
Other
Enumeration date
04/27/2012
Last updated
04/27/2012
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