ELI JOHN PORTUGUES

COVINA, CA
NPI1194327106
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: CA  83854)
Enumeration Date2020-11-13
Last Update Date2020-11-13
Business Address
-- ELI JOHN PORTUGUES
206 N AZUSA AVE
COVINA, CA 91722-3606
Phone number: 626-331-9907
Mailing Address
-- ELI JOHN PORTUGUES
206 N AZUSA AVE
COVINA, CA 91722-3606
Phone number: 626-331-9907
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