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Contact Information

SAM A MUSALLAM
1600 CALIFORNIA DR
VACAVILLE, CA95696
 Phone: 707-448-6841
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for SAM A MUSALLAM · (Male)

NPI # 1013288638
Status Active
Credentials
Entity Individual
Enumeration date 01/13/2012
Last updated 05/07/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 38049
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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