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MARINA AZER

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1407441298

Individual Registrant:
 MARINA  AZER 
Gender: F
Sole Proprietor

Location and contact information for practice:
3695 ALAMO ST  SIMI VALLEY, CA 93063-2188 US
Tel: 805-306-1636  Fax: --

Contact information for business:
17821 LASSEN ST APT 223  NORTHRIDGE, CA 91325-4711 US
Tel: --  Fax: --

Registration Information:
NPI: 1407441298
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
CA75917

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CA - Page 1



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