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NPI Code Detail

MEDICARE: ALMA JEAN CHAPPELL

MEDICARE: ALMA JEAN CHAPPELL
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
1333600000XPharmacy
23336C0003XCommunity/Retail PharmacyPHY46288CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
20512839OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

General Provider Information

NPI Number : 1437261427
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALMA JEAN CHAPPELL
Provider Business Mailing Address
First Line : 2121 5TH AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92101-2139
Country : US
Telephone Number : 619-233-3665
Fax Number : 619-233-3656
Provider Business Practice Location Address
First Line : 2121 5TH AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92101-2139
Country : US
Telephone Number : 619-233-3665
Fax Number : 619-233-3656
Authorized Official
Title or Position : OWNER PHARMACIST
Name : JEAN CHAPPELL
Credential :
Telephone Number : 619-233-3665
Provider Enumeration Date : 08/31/2006
Last Update Date : 04/20/2010

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Directions to “ALMA JEAN CHAPPELL ” Practice Location

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