Healthcare Provider Details

I. General information

NPI: 1619248630
Provider Name (Legal Business Name): VERN RAYMOND VERLING PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/23/2012
Last Update Date: 01/23/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

139 W RICHMOND AVE STE B
POINT RICHMOND CA
94801-3935
US

IV. Provider business mailing address

139 W RICHMOND AVE STE B
POINT RICHMOND CA
94801-3935
US

V. Phone/Fax

Practice location:
  • Phone: 510-232-7897
  • Fax: 866-247-6762
Mailing address:
  • Phone: 510-232-7897
  • Fax: 866-247-6762

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number35360
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: