Prutaseranee, Polar

Prutaseranee, Polar is an sole proprietor health care provider with primary practice located at 6750 Cherry Ave T-2424, Long Beach CA 90805-1717. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Prutaseranee, Polar can be contacted via phone (562) 295-2972.

Contact Information

Primary practice address
6750 Cherry Ave T-2424 Long Beach CA 90805-1717
Phone: (562) 295-2972
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 67929 California

Profile Details

NPI number 1639415607
LBN Legal business name Prutaseranee, Polar
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 2012
Last updated Sep 12th, 2013 - about 13 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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