MEDICARE: ELMA DOBRIC 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
1	183500000X	Pharmacist	72906	CA

General Provider Information

NPI Number	:	1316310923
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELMA DOBRIC PHARM.D.

Provider Business Mailing Address
First Line	:	4445 MISSION BLVD
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92109-3919
Country	:	US
Telephone Number	:	858-273-0900
Fax Number	:	858-273-2254

Provider Business Practice Location Address
First Line	:	4445 MISSION BLVD
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92109-3919
Country	:	US
Telephone Number	:	858-273-0900
Fax Number	:	858-273-2254

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

Provider Enumeration Date	:	11/04/2015
Last Update Date	:	11/04/2015

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Directions to “ ELMA DOBRIC PHARM.D.” Practice Location

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