Individual
DR. GLENN BRYAN MORATAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
5000 SAN BERNARDINO ST, MONTCLAIR, CA 91763-2326
(909) 625-8371
Mailing address
479 CARLETON AVE, CLAREMONT, CA 91711-5109
(626) 222-6687
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RPH72409
CA
1835G0303X
Geriatric Pharmacist
RPH72409
CA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH72409
CA
1835P1200X
Pharmacotherapy Pharmacist
RPH72409
CA
1835P1300X
Psychiatric Pharmacist
RPH72409
CA
1835P2201X
Ambulatory Care Pharmacist
RPH72409
CA
Other
Enumeration date
10/15/2015
Last updated
10/15/2015
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