Peters, Harry

Peters, Harry is an individual health care provider with primary practice located at 12142 Santa Monica Blvd , Los Angeles CA 90025-2516. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Peters, Harry can be contacted via phone (310) 820-1434.

Contact Information

Primary practice address
12142 Santa Monica Blvd Los Angeles CA 90025-2516
Fax: (310) 207-6894
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 28331 California

Profile Details

NPI number 1518959220
LBN Legal business name Peters, Harry
Credentials PHARM. D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Jul 8th, 2007 - about 17 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 1518959220 NPPES
California MEDICAID PHA354230

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