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NPI Code Detail

MEDICARE: JEFFREY SCHMIDT

MEDICARE: JEFFREY SCHMIDT
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
1183500000XPharmacist63840CA

General Provider Information

NPI Number : 1861964918
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFFREY SCHMIDT
Provider Business Mailing Address
First Line : 2445 BRANT ST UNIT 302
Second Line :
City : SAN DIEGO
State : CA
Zip : 92101-1364
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6265 EL CAJON BLVD
Second Line :
City : SAN DIEGO
State : CA
Zip : 92115-3917
Country : US
Telephone Number : 619-287-6848
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2018
Last Update Date : 12/28/2018

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Directions to “ JEFFREY SCHMIDT ” Practice Location

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