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NPI Code Detail

MEDICARE: GALINA JERDEVA

MEDICARE: GALINA JERDEVA
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
1183500000XPharmacist68767CA

General Provider Information

NPI Number : 1336543487
Entity Type Code : Individual
Provider Name (Legal Business Name) : GALINA JERDEVA
Provider Business Mailing Address
First Line : 5900 CALLE REAL
Second Line :
City : GOLETA
State : CA
Zip : 93117-2312
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5900 CALLE REAL
Second Line :
City : GOLETA
State : CA
Zip : 93117-2312
Country : US
Telephone Number : 805-967-3798
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2014
Last Update Date : 10/17/2014

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1861085268 — MINHKHOI DO NGUYEN
Practice Location Address:
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93117-2312
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Practice Fax:

Directions to “ GALINA JERDEVA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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