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NPI Code Detail

MEDICARE: DR. TIFFANI THERESA EMERSON PHARMD

MEDICARE: DR. TIFFANI THERESA EMERSON 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
1183500000XPharmacistRPH69454CA

General Provider Information

NPI Number : 1083150775
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TIFFANI THERESA EMERSON PHARMD
Provider Business Mailing Address
First Line : 1830 N BROADWAY
Second Line :
City : SANTA MARIA
State : CA
Zip : 93454-1449
Country : US
Telephone Number : 805-348-3555
Fax Number : 805-348-3563
Provider Business Practice Location Address
First Line : 1830 N BROADWAY
Second Line :
City : SANTA MARIA
State : CA
Zip : 93454-1449
Country : US
Telephone Number : 805-348-3555
Fax Number : 805-348-3563
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2017
Last Update Date : 01/18/2017

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