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MEDHAT BOTROS
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1184004699
Individual Registrant:
MEDHAT BOTROS
Gender: M
Sole Proprietor
Location and contact information for practice:
69155 RAMON RD CATHEDRAL CITY, CA 92234-3344 US
Tel: 760-770-3097 Fax: --
Contact information for business:
79719 PARKWAY ESPLANADE S LA QUINTA, CA 92253-4090 US
Tel: 760-770-3097 Fax: --
Registration Information:
NPI: 1184004699
Entity Type: Individual
Specialty information:
Primary | Code | Category/Description | State | License Number |
---|
Y | 183500000X | Pharmacy Service Providers Pharmacist
| CA | 74604 |
Legacy codes, insurance codes and state license numbers:
HEALTH CARE JOBS CA - Page 1