Moy, Theodoric

Moy, Theodoric is an sole proprietor health care provider with primary practice located at 400 N Pepper Ave , Colton CA 92324-1801. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Moy, Theodoric can be contacted via phone (909) 580-0016.

Contact Information

Primary practice address
400 N Pepper Ave Colton CA 92324-1801
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 63679 California

Profile Details

NPI number 1427450022
LBN Legal business name Moy, Theodoric
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2014
Last updated Sep 25th, 2014 - about 10 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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