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NPI Code Detail

MEDICARE: BENJAMIN OCHOA PHARMACIST

MEDICARE:   BENJAMIN  OCHOA  PHARMACIST
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
1183500000XPharmacist58786CA

General Provider Information

NPI Number : 1750404190
Entity Type Code : Individual
Provider Name (Legal Business Name) : BENJAMIN OCHOA PHARMACIST
Provider Business Mailing Address
First Line : 17023 SIENNA RIDGE DR
Second Line :
City : SAN DIEGO
State : CA
Zip : 92127-2866
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3650 ADAMS AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92116-2212
Country : US
Telephone Number : 619-563-0802
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2007
Last Update Date : 07/08/2007

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Directions to “ BENJAMIN OCHOA PHARMACIST” Practice Location

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