MEDICARE: CATHERINE GELFGREN RPH

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
1	183500000X	Pharmacist	RPH53524	CA

General Provider Information

NPI Number	:	1275990830
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHERINE GELFGREN RPH

Provider Business Mailing Address
First Line	:	3558 RUFFIN RD
Second Line	:	SUITE 101
City	:	SAN DIEGO
State	:	CA
Zip	:	92123-2596
Country	:	US
Telephone Number	:	858-627-5644
Fax Number	:	858-636-2236

Provider Business Practice Location Address
First Line	:	3558 RUFFIN RD
Second Line	:	SUITE 101
City	:	SAN DIEGO
State	:	CA
Zip	:	92123-2596
Country	:	US
Telephone Number	:	858-627-5644
Fax Number	:	858-636-2236

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2016
Last Update Date	:	01/26/2016

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Directions to “ CATHERINE GELFGREN RPH” Practice Location

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