Kourtakis, Stephanie
Kourtakis, Stephanie is an individual health care provider with primary practice located at 26520 Cactus Ave , Moreno Valley CA 92555-3927. She recently has only one registered license in Pharmacy Service Providers / Ambulatory Care, which is considered as her primary health care specialty. Kourtakis, Stephanie can be contacted via phone (951) 486-4000.Contact Information
Primary practice address
26520 Cactus Ave
Moreno Valley CA 92555-3927
Phone: (951) 486-4000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Ambulatory Care | 1835P2201X | RPH80480 | California |
Profile Details
| NPI number | 1760021083 |
|---|---|
| LBN Legal business name | Kourtakis, Stephanie |
| Credentials | PHARMD, BCACP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 3rd, 2020 |
| Last updated | Jan 3rd, 2020 - about 6 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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