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Individual

MR. ERIK ERNEST COURTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4000 BIRCH ST STE 120, NEWPORT BEACH, CA 92660-2258
(949) 642-8057
Mailing address
1560 PLACENTIA AVE SPC F6, NEWPORT BEACH, CA 92663-2825
(714) 356-9274

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
29726
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
29726
PHARMACY TECHNICIAN
CA
Enumeration date
03/08/2012
Last updated
03/08/2012
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