Dallal, Gregory Joseph

Dallal, Gregory Joseph is an sole proprietor health care provider with primary practice located at 931 S Euclid St , Anaheim CA 92802-1522. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Dallal, Gregory Joseph can be contacted via phone (714) 533-1337.

Contact Information

Primary practice address
931 S Euclid St Anaheim CA 92802-1522
Phone: (714) 533-1337
Fax: (714) 533-6930
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RPH42469 California

Profile Details

NPI number 1861545907
LBN Legal business name Dallal, Gregory Joseph
Credentials PHARM D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 20th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861545907 NPPES
Other 0511748 NCPDP
MEDICAID PHA440480 NCPDP

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