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MR. QUINTON EDWARD DALL PHARMACIST

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1467971820

Individual Registrant:
MR. QUINTON EDWARD DALL PHARMACIST
Gender: M
Not Sole Proprietor

Location and contact information for practice:
49281 GRAPEFRUIT BLVD  COACHELLA, CA 92236-1487 US
Tel: 760-296-3468  Fax: 760-296-3438

Contact information for business:
49281 GRAPEFRUIT BLVD STE 2  COACHELLA, CA 92236-1486 US
Tel: 760-296-3468  Fax: 760-296-3438

Registration Information:
NPI: 1467971820
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
CA56835

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
PHARMACY BOARD56835CA01




HEALTH CARE JOBS CA - Page 1



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