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JEFFREY LEDESMA BERMEJO PHARM D
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1376811182
Individual Registrant: JEFFREY LEDESMA BERMEJO PHARM D
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
5829 LAKEWOOD BLVD LAKEWOOD, CA 90712-1001 US
Tel: 562-817-5690 Fax: 562-817-5698
Tel: 562-817-5690 Fax: 562-817-5698
Contact information for business:
326 E BELLBROOK ST COVINA, CA 91722-2801 US
Tel: 626-512-7642 Fax: --
Tel: 626-512-7642 Fax: --
Registration Information:
NPI: 1376811182
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | CA | RPH53238 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
