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MRS. MARIAM ABOLHASSANI PHARMACIST
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1508201567
Individual Registrant:MRS. MARIAM ABOLHASSANI PHARMACIST
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
26932 LA PAZ RD ALISO VIEJO, CA 92656-3038 US
Tel: 949-831-6314 Fax: --
Tel: 949-831-6314 Fax: --
Contact information for business:
26932 LA PAZ RD ALISO VIEJO, CA 92656-3038 US
Tel: 949-831-6314 Fax: --
Tel: 949-831-6314 Fax: --
Registration Information:
NPI: 1508201567
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | CA | 51459 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
