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BANJI A ADERETI RPH

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1659706547

Individual Registrant:
 BANJI A ADERETI RPH
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

Contact information for business:
3340 W BALL RD  ANAHEIM, CA 92804-3729 US
Tel: 714-220-1139  Fax: 714-220-1168

Registration Information:
NPI: 1659706547
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
CARPH45057

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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