Jeffery Robert Proctor Valid NPI

Individual provider · Pharmacist · Thousand Oaks, CA

NPI

1528368024

Type

Individual (Type 1)

Primary specialty

Pharmacist

Specialty group

Pharmacy Service Providers

Taxonomy code

183500000X

License number

63884 (CA)

Sex

Male

Sole proprietor

No

Enumerated

2010-10-30

Last updated

2019-08-04