MEDICARE: DR. RENE AIKO ENDOW-EYER PHARM.D., BCPP

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	1835P1200X	Pharmacotherapy Pharmacist	RPH 48244	CA
2	1835P1300X	Psychiatric Pharmacist	RPH 48244	CA

General Provider Information

NPI Number	:	1437156403
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RENE AIKO ENDOW-EYER PHARM.D., BCPP

Provider Business Mailing Address
First Line	:	8810 RIO SAN DIEGO DR
Second Line	:	MC: 116A4Z
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-1698
Country	:	US
Telephone Number	:	619-400-5191
Fax Number	:	619-400-5171

Provider Business Practice Location Address
First Line	:	8810 RIO SAN DIEGO DR
Second Line	:	MC 116A4Z
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-1622
Country	:	US
Telephone Number	:	619-400-5191
Fax Number	:	619-400-5171

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

Provider Enumeration Date	:	07/05/2005
Last Update Date	:	09/14/2011

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Directions to “ DR. RENE AIKO ENDOW-EYER PHARM.D., BCPP” Practice Location

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