Moroni, Gary

Moroni, Gary is an sole proprietor health care provider with primary practice located at 19016 Fort St , Riverview MI 48193-6701. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Moroni, Gary can be contacted via phone (734) 479-2010.

Contact Information

Primary practice address
19016 Fort St Riverview MI 48193-6701
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 5302039792 Michigan
Pharmacy Service Providers / Pharmacist 183500000X 03132359 Ohio

Profile Details

NPI number 1255760203
LBN Legal business name Moroni, Gary
Credentials PHARM D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 9th, 2013
Last updated Nov 9th, 2013 - about 12 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 1255760203 NPPES
Michigan Other 5302039792 STATE OF MICHIGAN

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