Patricia Mae Bulosan Ilao, PharmD
Pharmacist in Redondo Beach, CA. Individual provider (NPI-1).
NPI number1669219952
StatusActive
Last updated in NPPESAug 13, 2024
Details
- NPI
- 1669219952
- Entity type
- Individual (NPI-1)
- Name
- Patricia Mae Bulosan Ilao
- Credential
- PharmD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 12, 2024
- Certification date
- Aug 13, 2024
- Last updated
- Aug 13, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 87500 | CA | Yes |
Practice location
316 S Pacific Coast HwyRedondo Beach, CA 90277-3729
Phone 310-540-9183
Mailing address
12025 Courser AveLa Mirada, CA 90638-1420
Phone 562-458-4989
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