Gericke, Kristin R
Gericke, Kristin R is an individual health care provider with primary practice located at 1120 W La Veta Ave Caloptima, Orange CA 92868-4231. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Gericke, Kristin R can be contacted via phone (714) 246-8460.Contact Information
Primary practice address
1120 W La Veta Ave Caloptima
Orange CA 92868-4231
Phone: (714) 246-8460
Fax: (714) 481-6411
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 42772 | California |
Profile Details
| NPI number | 1356348973 |
|---|---|
| LBN Legal business name | Gericke, Kristin R |
| Credentials | PHARM.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356348973 | NPPES |
| California | Other | 42772 | LICENSE |
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