Sukamto, Ignatius
Sukamto, Ignatius is an individual health care provider with primary practice located at 10808 Ramona Blvd , El Monte CA 91731-2628. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Sukamto, Ignatius can be contacted via phone (626) 579-6277.Contact Information
Primary practice address
10808 Ramona Blvd
El Monte CA 91731-2628
Phone: (626) 579-6277
Fax: (626) 579-6739
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | RPH 35336 | California |
Profile Details
| NPI number | 1568524726 |
|---|---|
| LBN Legal business name | Sukamto, Ignatius |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 14th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1568524726 | NPPES |
| California | Other | RPH 35336 | PHARMACIST |
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