Zwicker, Bennett M

Zwicker, Bennett M is an individual health care provider with primary practice located at 15243 Vanowen St , Van Nuys CA 91405-3605. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Zwicker, Bennett M can be contacted via phone (818) 781-0111.

Contact Information

Primary practice address
15243 Vanowen St Van Nuys CA 91405-3605
Phone: (818) 781-0111
Fax: (818) 781-1914
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 26315 California

Profile Details

NPI number 1871717587
LBN Legal business name Zwicker, Bennett M
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2007
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 1871717587 NPPES
California MEDICAID PHA197610

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