Registry details
Type
Individual
Primary specialty
Pharmacist
Enumerated
Sep 30, 2025
License(s)
90966 (CA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 718 E ELK AVE # B | Glendale, CA 91205-1722 | 818-625-2574 |
| LOCATION | 718 E ELK AVE # B | Glendale, CA 91205-1722 | 818-625-2574 |
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