MEDICARE: MS. NADINE CAFFARO TRACY 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	33301	CA

General Provider Information

NPI Number	:	1184924094
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. NADINE CAFFARO TRACY RPH

Provider Business Mailing Address
First Line	:	850 LINDEN AVE
Second Line	:
City	:	CARPINTERIA
State	:	CA
Zip	:	93013-2043
Country	:	US
Telephone Number	:	805-684-4124
Fax Number	:	805-684-2362

Provider Business Practice Location Address
First Line	:	850 LINDEN AVE
Second Line	:
City	:	CARPINTERIA
State	:	CA
Zip	:	93013-2043
Country	:	US
Telephone Number	:	805-684-4124
Fax Number	:	805-684-2362

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

Provider Enumeration Date	:	10/26/2010
Last Update Date	:	10/26/2010

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