Imoohi, Gregory

Imoohi, Gregory is an sole proprietor health care provider with primary practice located at 671 W 2Nd St , San Bernardino CA 92410-3205. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacotherapy. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Imoohi, Gregory can be contacted via phone (909) 888-9411.

Contact Information

Primary practice address
671 W 2Nd St San Bernardino CA 92410-3205
Phone: (909) 888-9411
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RPH42948 California
Pharmacy Service Providers / Pharmacotherapy 1835P1200X RPH42948 California

Profile Details

NPI number 1558598755
LBN Legal business name Imoohi, Gregory
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2009
Last updated Jun 15th, 2009 - about 15 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 1558598755 NPPES
Nevada Other 10153 BOARD OF PHARMACY
Nevada Other RPH42948 BOARD OF PHARMACY

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