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MS. SANDRA BECK-ATWATER RPH

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1912375015

Individual Registrant:
MS. SANDRA  BECK-ATWATER RPH
Gender: F
Not Sole Proprietor

Location and contact information for practice:
2415 W VINE ST SUITE 104B LODI, CA 95242-3731 US
Tel: 209-333-3009  Fax: --

Contact information for business:
975 S FAIRMONT AVE  LODI, CA 95240-5118 US
Tel: 209-339-7555  Fax: --

Registration Information:
NPI: 1912375015
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
CARPH37857

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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