MEDICARE: DR. LISA LINNEA ENGLERT 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	53273	CA

General Provider Information

NPI Number	:	1770681801
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LISA LINNEA ENGLERT PHARMD

Provider Business Mailing Address
First Line	:	521 PARNASSUS AVE
Second Line	:	RM C-152 BOX 0622
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94143-2206
Country	:	US
Telephone Number	:	415-353-8801
Fax Number	:	415-353-1411

Provider Business Practice Location Address
First Line	:	965 DOLORES ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94110-2922
Country	:	US
Telephone Number	:	415-353-8801
Fax Number	:

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

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	07/08/2007

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