Provider Demographics
NPI:1356525877
Name:GEIB, DOUGLAS EDWARD (RPH)
Entity type:Individual
Prefix:
First Name:DOUGLAS
Middle Name:EDWARD
Last Name:GEIB
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 W HANFORD ARMONA RD
Mailing Address - Street 2:
Mailing Address - City:LEMOORE
Mailing Address - State:CA
Mailing Address - Zip Code:93245-2302
Mailing Address - Country:US
Mailing Address - Phone:559-924-6495
Mailing Address - Fax:559-924-0644
Practice Address - Street 1:215 W HANFORD ARMONA RD
Practice Address - Street 2:
Practice Address - City:LEMOORE
Practice Address - State:CA
Practice Address - Zip Code:93245-2302
Practice Address - Country:US
Practice Address - Phone:559-924-6495
Practice Address - Fax:559-924-0644
Is Sole Proprietor?:No
Enumeration Date:2007-12-19
Last Update Date:2007-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA26988183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist