Individual
MRS. VIRGINIA MARIE PEROVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD.
Contact information
Practice address
137 N. HARVARD AVE., CLAREMONT, CA 91711-7011
(562) 882-2828
Mailing address
7615 ETIWANDA AVE UNIT 277, RANCHO CUCAMONGA, CA 91739-7011
(562) 882-2828
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
69340
CA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
69340
CA
Other
Enumeration date
08/23/2013
Last updated
01/30/2017
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