Individual
AMIR GERGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1515 DANA DR, REDDING, CA 96003-4878
(530) 221-2800
Mailing address
3738 WESTGATE AVE, REDDING, CA 96001-2207
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
61954
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61954
CALIFORNIA BOARD OF PHARMACY
CA
Enumeration date
05/25/2017
Last updated
05/25/2017
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