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Shawki Bachoua
Community/Retail Pharmacy in Imperial Beach, California
NPI 1417968090

Shawki Bachoua is a Community/Retail Pharmacy based in Imperial Beach, CA and is specialized in Community/Retail Pharmacy. Shawki Bachoua practices in Imperial Beach, CA. The NPI Number for Shawki Bachoua is 1417968090 and holds a License No. (California).

The current practice location address for Shawki Bachoua is 779 Palm Ave, Imperial Beach, CA and can be reached out via phone at 619-424-5164 and via fax at 619-423-8492.

Location: 779 Palm Ave, Imperial Beach, CA, 91932-1234
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417968090
Provider Name
Shawki Bachoua
Credential
Provider Entity Type
Organization
Address
779 Palm Ave, Imperial Beach, CA, 91932-1234
Phone Number
619-424-5164
Fax Number
619-423-8492
Provider Enumeration Date
08/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PHA436320 05 CA
0534001 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
779 Palm Ave
City
Imperial Beach
State
California
Zip
91932-1234
Phone Number
619-424-5164
Fax Number
619-423-8492
person
Provider Business Mailing Address Details
Address
779 Palm Ave
City
Imperial Beach
State
California
Zip
91932-1234
Phone Number
619-424-5164
Fax Number
619-423-8492
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
PHY43632 (California)
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
()
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
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