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NPI Code Detail

MEDICARE: GLORIA GYIMAH PHARMD

MEDICARE: GLORIA GYIMAH PHARMD
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist68476CA

General Provider Information

NPI Number : 1427399179
Entity Type Code : Individual
Provider Name (Legal Business Name) : GLORIA GYIMAH PHARMD
Provider Business Mailing Address
First Line : 8200 HAVEN AVE APT 1209
Second Line :
City : RANCHO CUCAMONGA
State : CA
Zip : 91730-6960
Country : US
Telephone Number : 614-309-8054
Fax Number :
Provider Business Practice Location Address
First Line : 19201 BEAR VALLEY RD
Second Line :
City : APPLE VALLEY
State : CA
Zip : 92308-2702
Country : US
Telephone Number : 760-961-6943
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2013
Last Update Date : 03/05/2013

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Directions to “ GLORIA GYIMAH PHARMD” Practice Location

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