MEDICARE: PATRICK FEBRE

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	1835P2201X	Ambulatory Care Pharmacist	67042	CA

General Provider Information

NPI Number	:	1174175871
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICK FEBRE

Provider Business Mailing Address
First Line	:	3651 BUSINESS DR STE 100
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95820-2176
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3651 BUSINESS DR STE 100
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95820-2176
Country	:	US
Telephone Number	:	916-736-6556
Fax Number	:

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

Provider Enumeration Date	:	07/12/2019
Last Update Date	:	07/12/2019

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Directions to “ PATRICK FEBRE ” Practice Location

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