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DIMA ALSALLOUM
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1497371793
Individual Registrant: DIMA ALSALLOUM
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
1830 N BROADWAY SANTA MARIA, CA 93454-1449 US
Tel: 805-348-3555 Fax: --
Tel: 805-348-3555 Fax: --
Contact information for business:
1715 BILBAO DR SANTA MARIA, CA 93454-3430 US
Tel: 805-720-9035 Fax: --
Tel: 805-720-9035 Fax: --
Registration Information:
NPI: 1497371793
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | CA | RPH82454 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
