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MRS. KELLY C AGUILERA
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1003100371
Individual Registrant:MRS. KELLY C AGUILERA
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
27818 CLINTON KEITH RD T2499 MURRIETA, CA 92562-8554 US
Tel: 951-704-1124 Fax: --
Tel: 951-704-1124 Fax: --
Contact information for business:
27818 CLINTON KEITH RD T2499 MURRIETA, CA 92562-8554 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1003100371
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | CA | 57343 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
