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NPI Code Detail

MEDICARE: DR. ALI MAHDI JAFFER PHARM.D.

MEDICARE:  DR. ALI MAHDI JAFFER  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
1183500000XPharmacist53624CA

General Provider Information

NPI Number : 1588833909
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALI MAHDI JAFFER PHARM.D.
Provider Business Mailing Address
First Line : 8200 HAVEN AVE APT 9104
Second Line :
City : RANCHO CUCAMONGA
State : CA
Zip : 91730-6976
Country : US
Telephone Number : 323-314-8604
Fax Number :
Provider Business Practice Location Address
First Line : 11201 BENTON ST
Second Line :
City : LOMA LINDA
State : CA
Zip : 92357-3203
Country : US
Telephone Number : 909-825-7084
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/29/2008
Last Update Date : 07/14/2022

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Directions to “ DR. ALI MAHDI JAFFER PHARM.D.” Practice Location

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