MEDICARE: PHARMPRO NETWORK INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	152W00000X	Optometrist	CA
2	171W00000X	Contractor	CA
3	225100000X	Physical Therapist	CA

General Provider Information

NPI Number	:	1033452693
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHARMPRO NETWORK INC

Provider Business Mailing Address
First Line	:	14500 ROSCOE BLVD FL 4
Second Line	:
City	:	PANORAMA CITY
State	:	CA
Zip	:	91402-4194
Country	:	US
Telephone Number	:	818-448-6847
Fax Number	:	818-474-7290

Provider Business Practice Location Address
First Line	:	14500 ROSCOE BLVD FL 4
Second Line	:
City	:	PANORAMA CITY
State	:	CA
Zip	:	91402-4194
Country	:	US
Telephone Number	:	818-448-6847
Fax Number	:	818-474-7290

Authorized Official
Title or Position	:	CEO
Name	:	ORLANDO RAY GARCIA
Credential	:	BSPHARM.
Telephone Number	:	818-448-6847

Provider Enumeration Date	:	04/02/2013
Last Update Date	:	04/02/2013

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Directions to “PHARMPRO NETWORK INC ” Practice Location

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