Individual provider · Type 1 NPI

Clark Anthony Botha, BPHARM, RPH

Pharmacist · Beaumont, CA

NPI number 1639385404 Active

Practice location

81 Highland Springs Ave Ste 90
Beaumont, CA 92223-3170

Call (951) 849-3378 Map

Mailing address

25590 Prospect Ave, Apt 26D
Loma Linda, CA 92354-3141

Specialties and licenses

Taxonomy	Code	License
Pharmacist Primary	183500000X	58078 (CA)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1639385404

Clark Anthony Botha, BPHARM, RPH's National Provider Identifier is 1639385404, issued on May 16, 2007. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Beaumont, CA. The record was last updated on Dec 27, 2019.