Imdorf, Gregory Joseph
Imdorf, Gregory Joseph is an sole proprietor health care provider with primary practice located at 9501 E Shea Blvd # Mc093 , Scottsdale AZ 85260-6719. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Imdorf, Gregory Joseph can be contacted via phone (480) 627-0605.Contact Information
Primary practice address
9501 E Shea Blvd # Mc093
Scottsdale AZ 85260-6719
Phone: (480) 627-0605
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 12203 | Arizona |
Profile Details
| NPI number | 1518021864 |
|---|---|
| LBN Legal business name | Imdorf, Gregory Joseph |
| Credentials | PHARMD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 21st, 2006 |
| 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 | 1518021864 | NPPES |
| Arizona | Other | 12203 | STATE PHARMACIST LICENSE |
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