MEDICARE: MS. JANET GROCHOWSKI RPH

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	59538	CA
2	183500000X	Pharmacist	041408	NY

General Provider Information

NPI Number	:	1033442389
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JANET GROCHOWSKI RPH

Provider Business Mailing Address
First Line	:	800 DUBOCE AVE
Second Line	:	APT 201
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94117-3149
Country	:	US
Telephone Number	:	415-621-1397
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 DUBOCE AVE
Second Line	:	APT 201
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94117-3149
Country	:	US
Telephone Number	:	415-621-1397
Fax Number	:

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

Provider Enumeration Date	:	09/17/2009
Last Update Date	:	10/31/2012

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