Provider Demographics
NPI:1003278383
Name:SIMAS, GREG A (PHARMD MBA)
Entity Type:Individual
Prefix:DR
First Name:GREG
Middle Name:A
Last Name:SIMAS
Suffix:
Gender:M
Credentials:PHARMD MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1800
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91729-1800
Mailing Address - Country:US
Mailing Address - Phone:951-335-3530
Mailing Address - Fax:
Practice Address - Street 1:10801 6TH ST
Practice Address - Street 2:SUITE 120
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-5977
Practice Address - Country:US
Practice Address - Phone:951-335-3530
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-24
Last Update Date:2016-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA40277183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist