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NPI Code Detail

MEDICARE: CHELSEY LYNN VISITACION PHARMD

MEDICARE: CHELSEY LYNN VISITACION PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist73696CA

General Provider Information

NPI Number : 1134601990
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHELSEY LYNN VISITACION PHARMD
Provider Business Mailing Address
First Line : 8400 ELK GROVE FLORIN RD
Second Line :
City : ELK GROVE
State : CA
Zip : 95624-9450
Country : US
Telephone Number : 916-525-3563
Fax Number :
Provider Business Practice Location Address
First Line : 8400 ELK GROVE FLORIN RD
Second Line :
City : ELK GROVE
State : CA
Zip : 95624-9450
Country : US
Telephone Number : 916-525-3563
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2018
Last Update Date : 08/29/2018

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