Palmer John Fontanarosa
Pharmacist in Palm Springs, CA. Individual provider (NPI-1).
NPI number1023206331
StatusActive
Last updated in NPPESOct 11, 2007
Details
- NPI
- 1023206331
- Entity type
- Individual (NPI-1)
- Name
- Mr. Palmer John Fontanarosa
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 11, 2007
- Last updated
- Oct 11, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 53747 | CA | Yes |
Practice location
3285 Cambridge Ct SPalm Springs, CA 92264-8707
Phone 760-318-1214
Mailing address
3285 Cambridge Ct SPalm Springs, CA 92264-8707
Phone 760-318-1214
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