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NPI Code Detail

MEDICARE: PEARL P GU PHARM D

MEDICARE: PEARL P GU PHARM D
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
11835P1200XPharmacotherapy Pharmacist51705CA

General Provider Information

NPI Number : 1205116746
Entity Type Code : Individual
Provider Name (Legal Business Name) : PEARL P GU PHARM D
Provider Business Mailing Address
First Line : 1899 FILLMORE ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94115-3125
Country : US
Telephone Number : 415-771-4603
Fax Number : 415-771-8516
Provider Business Practice Location Address
First Line : 1899 FILLMORE ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94115-3125
Country : US
Telephone Number : 415-771-4603
Fax Number : 415-771-8516
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2011
Last Update Date : 08/26/2011

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