Individual
MR. ROGER S. KLOTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH., BCNSP, FASCP
Contact information
Practice address
309 E 2ND ST, POMONA, CA 91766-1854
(714) 974-8858
Mailing address
PO BOX 17265, ANAHEIM, CA 92817-7265
(714) 998-3807
(714) 974-8858
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RPH 38533
CA
1835N1003X
Nutrition Support Pharmacist
RPH 38533
CA
1835P1200X
Pharmacotherapy Pharmacist
Primary
RPH 38533
CA
Other
Enumeration date
06/01/2005
Last updated
08/28/2010
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