Prevost, Walter Jerome
Prevost, Walter Jerome is an individual health care provider with primary practice located at 9909 Compton Ave , Los Angeles CA 90002-2850. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Prevost, Walter Jerome can be contacted via phone (323) 564-3218.Contact Information
Primary practice address
9909 Compton Ave
Los Angeles CA 90002-2850
Phone: (323) 564-3218
Fax: (323) 564-4064
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 25903 | California |
Profile Details
| NPI number | 1629035621 |
|---|---|
| LBN Legal business name | Prevost, Walter Jerome |
| Credentials | PHARM.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2006 |
| 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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