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JEFFREY LEDESMA BERMEJO PHARM D

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1376811182

Individual Registrant:
 JEFFREY LEDESMA BERMEJO PHARM D
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

Contact information for business:
326 E BELLBROOK ST  COVINA, CA 91722-2801 US
Tel: 626-512-7642  Fax: --

Registration Information:
NPI: 1376811182
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
CARPH53238

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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