Provider Demographics
NPI:1467722553
Name:CHAABAN, SAWSAN (PHARMD)
Entity Type:Individual
Prefix:
First Name:SAWSAN
Middle Name:
Last Name:CHAABAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3867 ELDERBERRY CIR
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92882-7991
Mailing Address - Country:US
Mailing Address - Phone:951-582-9368
Mailing Address - Fax:
Practice Address - Street 1:30340 HAUN RD
Practice Address - Street 2:
Practice Address - City:MENIFEE
Practice Address - State:CA
Practice Address - Zip Code:92584-6806
Practice Address - Country:US
Practice Address - Phone:951-723-6152
Practice Address - Fax:951-723-6163
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-05
Last Update Date:2012-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA43132183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist