Koch, Jessa Marie

Koch, Jessa Marie is an individual health care provider with primary practice located at 250 S G St , San Bernardino CA 92410-3320. She recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist is her primary health care specialty. Koch, Jessa Marie can be contacted via phone (855) 558-1100.

Contact Information

Primary practice address
250 S G St San Bernardino CA 92410-3320
Phone: (855) 558-1100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Pharmacy Service Providers / Pharmacist 183500000X RP448743 Pennsylvania
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 75756 California
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X RP448743 Pennsylvania

Profile Details

NPI number 1508270463
LBN Legal business name Koch, Jessa Marie
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2014
Last updated Mar 16th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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