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NPI Code Detail

MEDICARE: JENNIFER YOUNG AHN PHARMD

MEDICARE: JENNIFER YOUNG AHN 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
1183500000XPharmacist57978CA

General Provider Information

NPI Number : 1184998148
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER YOUNG AHN PHARMD
Provider Business Mailing Address
First Line : 12350 CARMEL MOUNTAIN RD
Second Line :
City : SAN DIEGO
State : CA
Zip : 92128-4616
Country : US
Telephone Number : 858-675-0930
Fax Number : 858-675-0932
Provider Business Practice Location Address
First Line : 12350 CARMEL MOUNTAIN RD
Second Line :
City : SAN DIEGO
State : CA
Zip : 92128-4616
Country : US
Telephone Number : 858-675-0930
Fax Number : 858-675-0932
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2012
Last Update Date : 03/08/2012

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Directions to “ JENNIFER YOUNG AHN PHARMD” Practice Location

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