MEDICARE: JAYNA SPITERI 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	44445	CA

General Provider Information

NPI Number	:	1174182687
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAYNA SPITERI RPH

Provider Business Mailing Address
First Line	:	1312 TRANCAS ST
Second Line	:
City	:	NAPA
State	:	CA
Zip	:	94558-2912
Country	:	US
Telephone Number	:	707-255-7400
Fax Number	:

Provider Business Practice Location Address
First Line	:	1312 TRANCAS ST
Second Line	:
City	:	NAPA
State	:	CA
Zip	:	94558-2912
Country	:	US
Telephone Number	:	707-255-7400
Fax Number	:

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

Provider Enumeration Date	:	06/08/2019
Last Update Date	:	06/08/2019

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