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NPI Code Detail

MEDICARE: BERNARD GOROSPE RPH

MEDICARE: BERNARD GOROSPE RPH
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
1183500000XPharmacist47573CA

General Provider Information

NPI Number : 1831688225
Entity Type Code : Individual
Provider Name (Legal Business Name) : BERNARD GOROSPE RPH
Provider Business Mailing Address
First Line : 22623 CASS AVE
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91364-2913
Country : US
Telephone Number : 818-268-8530
Fax Number :
Provider Business Practice Location Address
First Line : 19821 RINALDI ST
Second Line :
City : PORTER RANCH
State : CA
Zip : 91326-4145
Country : US
Telephone Number : 818-832-6592
Fax Number : 818-832-6073
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2018
Last Update Date : 05/01/2018

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