Provider Demographics
NPI:1649571282
Name:FLOMO, SIRLEAF APU-GEAH SR (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:SIRLEAF
Middle Name:APU-GEAH
Last Name:FLOMO
Suffix:SR
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2727 WALNUT AVE APT 62
Mailing Address - Street 2:
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608-4292
Mailing Address - Country:US
Mailing Address - Phone:916-996-8410
Mailing Address - Fax:
Practice Address - Street 1:2727 WALNUT AVE APT 62
Practice Address - Street 2:
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608-4292
Practice Address - Country:US
Practice Address - Phone:916-996-8410
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-12
Last Update Date:2010-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA64965183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist