Registry details
Type
Individual
Primary specialty
Pharmacist
Enumerated
Feb 11, 2020
License(s)
1-110074 (KS), 11380 (CA), 82453 (CA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 3853 ROSECRANS ST | San Diego, CA 92110-3115 | 619-692-8028 |
| MAILING | 3853 ROSECRANS ST | San Diego, CA 92110-3115 | 619-692-8028 |
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