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1457858151
FAHAD ISLAM
CORONA, CA
NPI
1457858151
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3336C0003X Pharmacy Community/Retail Pharmacy
(Licence: CA 76582)
Enumeration Date
2018-04-09
Last Update Date
2018-04-09
Business Address
FAHAD ISLAM RPH
1183 MAGNOLIA AVE
CORONA, CA 92879-3231
Phone number: 951-272-4427
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Mailing Address
FAHAD ISLAM RPH
24459 PRESTON CT
LAKE ELSINORE, CA 92532-2747
Phone number: 954-682-0003
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