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DIMA ALSALLOUM

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1497371793

Individual Registrant:
 DIMA  ALSALLOUM 
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: --

Contact information for business:
1715 BILBAO DR  SANTA MARIA, CA 93454-3430 US
Tel: 805-720-9035  Fax: --

Registration Information:
NPI: 1497371793
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
CARPH82454

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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