Ganan, Martin A

Ganan, Martin A is an individual health care provider with primary practice located at 1200 W State St Pharmacy, Rockford IL 61102. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Ganan, Martin A can be contacted via phone (815) 490-1633.

Contact Information

Primary practice address
1200 W State St Pharmacy Rockford IL 61102
Phone: (815) 490-1633
Fax: (815) 963-4629
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X Illinois

Profile Details

NPI number 1265602130
LBN Legal business name Ganan, Martin A
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2008
Last updated Mar 7th, 2008 - 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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