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RAGHAD ABDO
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1356721575
Individual Registrant: RAGHAD ABDO
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
1235 S DIAMOND BAR BLVD DIAMOND BAR, CA 91765 US
Tel: 909-861-9433 Fax: 909-861-5114
Tel: 909-861-9433 Fax: 909-861-5114
Contact information for business:
1235 SOUTH DIAMOND BAR BLVD DIAMOND BAR, CA 91765 US
Tel: 909-861-9433 Fax: 909-861-5114
Tel: 909-861-9433 Fax: 909-861-5114
Registration Information:
NPI: 1356721575
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | CA | 47073 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
