Healthcare Provider Details

I. General information

NPI: 1467657635
Provider Name (Legal Business Name): NAVERY EAP PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 VAN NESS AVE APT 81
SAN FRANCISCO CA
94102-3248
US

IV. Provider business mailing address

601 VAN NESS AVE APT 81
SAN FRANCISCO CA
94102-3248
US

V. Phone/Fax

Practice location:
  • Phone: 773-617-8972
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number59420
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: