MEDICARE: DR. ERNESTO ARTURO AVELAR I 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
1	1835C0205X	Critical Care Pharmacist	42308	CA

General Provider Information

NPI Number	:	1265365787
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERNESTO ARTURO AVELAR I PHARM D

Provider Business Mailing Address
First Line	:	1000 TRANCAS ST
Second Line	:
City	:	NAPA
State	:	CA
Zip	:	94558-2906
Country	:	US
Telephone Number	:	707-287-3239
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 TRANCAS ST
Second Line	:
City	:	NAPA
State	:	CA
Zip	:	94558-2906
Country	:	US
Telephone Number	:	707-287-3239
Fax Number	:

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

Provider Enumeration Date	:	06/04/2026
Last Update Date	:	06/04/2026

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