Serumgard, Kirk Anthony
Serumgard, Kirk Anthony is an sole proprietor health care provider with primary practice located at B/Co. 352 Csh Usar 2475A West 12Th Street Bldg 780-A, Apo AA 94607-5780. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Serumgard, Kirk Anthony can be contacted via phone (510) 302-2733.Contact Information
Primary practice address
B/Co. 352 Csh Usar 2475A West 12Th Street Bldg 780-A
Apo AA 94607-5780
Phone: (510) 302-2733
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 59365 | California |
Profile Details
| NPI number | 1245564848 |
|---|---|
| LBN Legal business name | Serumgard, Kirk Anthony |
| Credentials | PHARM. D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 29th, 2009 |
| Last updated | Sep 29th, 2009 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245564848 | NPPES |
| California | Other | 59365 | BOARD OF PHARMACY |
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