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NPI Code Detail

MEDICARE: ROULA CHAABAN RPH

MEDICARE: ROULA CHAABAN RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist61272CA

General Provider Information

NPI Number : 1376072983
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROULA CHAABAN RPH
Provider Business Mailing Address
First Line : 2505 SANTA MONICA BLVD
Second Line :
City : SANTA MONICA
State : CA
Zip : 90404-2011
Country : US
Telephone Number : 310-828-6456
Fax Number : 310-829-4375
Provider Business Practice Location Address
First Line : 2505 SANTA MONICA BLVD
Second Line :
City : SANTA MONICA
State : CA
Zip : 90404-2011
Country : US
Telephone Number : 310-828-6456
Fax Number : 310-829-4375
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2017
Last Update Date : 06/07/2017

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Directions to “ ROULA CHAABAN RPH” Practice Location

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