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BANJI A ADERETI RPH
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1659706547
Individual Registrant: BANJI A ADERETI RPH
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
3340 W BALL RD ANAHEIM, CA 92804-3729 US
Tel: 714-220-1139 Fax: 714-220-1168
Tel: 714-220-1139 Fax: 714-220-1168
Contact information for business:
3340 W BALL RD ANAHEIM, CA 92804-3729 US
Tel: 714-220-1139 Fax: 714-220-1168
Tel: 714-220-1139 Fax: 714-220-1168
Registration Information:
NPI: 1659706547
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | CA | RPH45057 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
