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NPI Code Detail

MEDICARE: DEBBIE JEAN SPOONHOUR PHARM.D.

MEDICARE:   DEBBIE JEAN SPOONHOUR  PHARM.D.
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
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist43051CA

General Provider Information

NPI Number : 1255970323
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBBIE JEAN SPOONHOUR PHARM.D.
Provider Business Mailing Address
First Line : 2416 MOONLIGHT GLN
Second Line :
City : ESCONDIDO
State : CA
Zip : 92026-3847
Country : US
Telephone Number : 760-492-3351
Fax Number :
Provider Business Practice Location Address
First Line : 6725 MESA RIDGE RD STE 230
Second Line :
City : SAN DIEGO
State : CA
Zip : 92121-2925
Country : US
Telephone Number : 888-963-6544
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2020
Last Update Date : 01/06/2020

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Directions to “ DEBBIE JEAN SPOONHOUR PHARM.D.” Practice Location

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