Provider Demographics
NPI:1396874715
Name:STERMER, RAYMOND JOHN (RPH, MBA)
Entity type:Individual
Prefix:MR
First Name:RAYMOND
Middle Name:JOHN
Last Name:STERMER
Suffix:
Gender:M
Credentials:RPH, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21981 OAK GRV
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92692-4300
Mailing Address - Country:US
Mailing Address - Phone:949-677-7977
Mailing Address - Fax:949-770-7229
Practice Address - Street 1:21981 OAK GRV
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92692-4300
Practice Address - Country:US
Practice Address - Phone:949-677-7977
Practice Address - Fax:949-770-7229
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26013483A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist