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VIPUL BHAVANI PHARMD

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1225373327

Individual Registrant:
 VIPUL  BHAVANI PHARMD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1480 FOOTHILL BLVD  LA VERNE, CA 91750-3450 US
Tel: 909-593-2619  Fax: --

Contact information for business:
1480 FOOTHILL BLVD  LA VERNE, CA 91750-3450 US
Tel: 909-593-2619  Fax: --

Registration Information:
NPI: 1225373327
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
CA65676

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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