Shawki Bachoua
NPI #1417968090 in Imperial Beach, California
Provider Information
- NPI Number
- 1417968090
- Entity Type
- Organization
- Organization Name
- Shawki Bachoua
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Aug 10, 2006
- Last Updated
- Dec 10, 2009
Practice Location
- Address
- 779 PALM AVE
- City
- Imperial Beach
- State
- California
- ZIP Code
- 91932-1234
- Phone
- (619) 424-5164
Authorized Official
- Name
- SHAWKI BACHOUA
- Title
- OWNER
- Phone
- (619) 424-5559
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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