Provider Demographics
NPI:1942865225
Name:GEIERMAN, JOSEPH LEROY JR (PHARMD APH)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:LEROY
Last Name:GEIERMAN
Suffix:JR
Gender:M
Credentials:PHARMD APH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11751 SAN TIMOTEO CANYON RD
Mailing Address - Street 2:
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92373-7839
Mailing Address - Country:US
Mailing Address - Phone:909-437-2036
Mailing Address - Fax:
Practice Address - Street 1:236 CAJON ST
Practice Address - Street 2:
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92373-5202
Practice Address - Country:US
Practice Address - Phone:909-335-4182
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-02
Last Update Date:2019-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10331183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA10331OtherBOARD OF PHARMACY