Registry details
Type
Individual
Primary specialty
Pharmacist
Enumerated
Nov 6, 2010
License(s)
65008 (CA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 81822 VIA SAN CLEMENTE | La Quinta, CA 92253-7960 | 760-625-1290 |
| LOCATION | 51101 HARRISON ST | Coachella, CA 92236-1560 | 760-398-0833 |
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