Healthcare Provider Details

I. General information

NPI: 1033488978
Provider Name (Legal Business Name): AIMEE DAWSON PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/21/2011
Last Update Date: 12/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2270 N BELLFLOWER BLVD
LONG BEACH CA
90815-2017
US

IV. Provider business mailing address

2270 N BELLFLOWER BLVD
LONG BEACH CA
90815-2017
US

V. Phone/Fax

Practice location:
  • Phone: 562-430-3753
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH 66151
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: