MEDICARE: DR. EMILIA REBECCA WOLF 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
1	183500000X	Pharmacist	84744	CA

General Provider Information

NPI Number	:	1427722032
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EMILIA REBECCA WOLF PHARMD

Provider Business Mailing Address
First Line	:	2931 RUBINO CIR
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95125-6310
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	377 SANTANA ROW STE 1145
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95128-2059
Country	:	US
Telephone Number	:	408-606-8900
Fax Number	:

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

Provider Enumeration Date	:	08/06/2021
Last Update Date	:	08/06/2021

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