Diana Jan Chouckry Andrawes
Pharmacist in Fontana, CA. Individual provider (NPI-1).
NPI number1831853258
StatusActive
Last updated in NPPESOct 22, 2021
Details
- NPI
- 1831853258
- Entity type
- Individual (NPI-1)
- Name
- Diana Jan Chouckry Andrawes
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 22, 2021
- Certification date
- Oct 22, 2021
- Last updated
- Oct 22, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | RPH84528 | CA | Yes |
Practice location
11121 Sierra AveFontana, CA 92337-9310
Phone 909-356-9715
Mailing address
11121 Sierra AveFontana, CA 92337-9310
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