MEDICARE: DR. JENNIFER GRABOWSKY 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
1	183500000X	Pharmacist	61638	CA
2	1835X0200X	Oncology Pharmacist	61638	CA
3	1835X0200X	Oncology Pharmacist	20239	NC

General Provider Information

NPI Number	:	1568776524
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JENNIFER GRABOWSKY PHARMD

Provider Business Mailing Address
First Line	:	1600 DIVISADERO ST, A642; CAMPUS BOX 1699
Second Line	:	UCSF MEDICAL CENTER MT ZION
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94115-0001
Country	:	US
Telephone Number	:	415-514-6568
Fax Number	:	415-514-6566

Provider Business Practice Location Address
First Line	:	1600 DIVISADERO ST, A642; CAMPUS BOX 1699
Second Line	:	UCSF MEDICAL CENTER MT ZION
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94115-0001
Country	:	US
Telephone Number	:	415-514-6568
Fax Number	:	415-514-6566

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

Provider Enumeration Date	:	08/02/2010
Last Update Date	:	06/20/2011

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