NPI 1245564848

Kirk Anthony Serumgard, PHARMD

Practitioner Pharmacist Apo, AA

Practice location

Address: B/Co. 352 Csh Usar 2475a West 12th Street Bldg 780-A, Apo, AA 94607-5780
Phone: (510) 302-2733
Mailing address: 2475a West 12th Street Bldg 780-A B/Co. 352 Csh Usar, Oakland, CA 94607-5780

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 59365 (CA)

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Registry record

NPI: 1245564848
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Sep 2009
Record last updated: 29 Sep 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.