Mark Shabashov, RPH

NPI #1992129308 in Bermuda Dunes, California

Provider Information

NPI Number: 1992129308
Entity Type: Individual
Name: Mark Shabashov, RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Feb 6, 2014
Last Updated: Feb 6, 2014

Practice Location

Address: 42150 WASHINGTON ST
City: Bermuda Dunes
State: California
ZIP Code: 92203-9611
Phone: (706) 020-0084

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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