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MR. MARK ADAM

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1407205446

Individual Registrant:
MR. MARK  ADAM 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1837 W CERRITOS AVE  ANAHEIM, CA 92804-6139 US
Tel: 714-326-4706  Fax: --

Contact information for business:
1837 W CERRITOS AVE  ANAHEIM, CA 92804-6139 US
Tel: 714-326-4706  Fax: --

Registration Information:
NPI: 1407205446
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
CA74501

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CA - Page 1



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