Peete, Robert Douglas

Peete, Robert Douglas is an sole proprietor health care provider with primary practice located at 2169 W Redondo Beach Blvd , Gardena CA 90247-3625. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Peete, Robert Douglas can be contacted via phone (310) 515-3783.

Contact Information

Primary practice address
2169 W Redondo Beach Blvd Gardena CA 90247-3625
Phone: (310) 515-3783
Fax: (310) 515-3783
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 32926 California

Profile Details

NPI number 1891080461
LBN Legal business name Peete, Robert Douglas
Credentials DOCTOR OF PHARMACY
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 12th, 2011
Last updated Jun 12th, 2011 - about 13 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 1891080461 NPPES
California Other PHA476060 BOARD OF PHARMACY LICENSE

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