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NPI Code Detail

MEDICARE: DR. DAVID CASTILLO PHARMD

MEDICARE:  DR. DAVID  CASTILLO  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
1163WD0400XDiabetes Educator Registered Nurse66898CA
2183500000XPharmacist18159NV
3183500000XPharmacist66898CA

General Provider Information

NPI Number : 1063784957
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID CASTILLO PHARMD
Provider Business Mailing Address
First Line : 120 UNIVERSITY AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92103-3007
Country : US
Telephone Number : 619-260-1010
Fax Number :
Provider Business Practice Location Address
First Line : 120 UNIVERSITY AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92103-3007
Country : US
Telephone Number : 619-260-1010
Fax Number : 619-260-1031
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2012
Last Update Date : 02/23/2019

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Directions to “ DR. DAVID CASTILLO PHARMD” Practice Location

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