Individual provider · NPI-1

Dr. Nabil Botros

Pharmacist · Costa Mesa, CA

NPI number1912586017
StatusActive
Last updated in NPPESApr 6, 2021

Details

NPI
1912586017
Entity type
Individual (NPI-1)
Name
Dr. Nabil Botros
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 6, 2021
Certification date
Apr 6, 2021
Last updated
Apr 6, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist49751CAYes

Practice location

2246 Newport Blvd
Costa Mesa, CA 92627-6743

Phone 949-646-7744 · Fax 949-646-4614

Mailing address

2246 Newport Blvd
Costa Mesa, CA 92627-6743

Phone 949-646-7744 · Fax 949-646-4614

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