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NPI Code Detail

MEDICARE: MRS. DAHLIA JAFFER RPH

MEDICARE:  MRS. DAHLIA  JAFFER  RPH
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
11835G0303XGeriatric Pharmacist4690CA
2183500000XPharmacist66509CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11043603780OTHERCAVILLAGE ROSE PHARMACY

General Provider Information

NPI Number : 1619406477
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DAHLIA JAFFER RPH
Provider Business Mailing Address
First Line : 1528 SUMMIT AVE
Second Line :
City : CARDIFF BY THE SEA
State : CA
Zip : 92007-2434
Country : US
Telephone Number : 951-500-6084
Fax Number :
Provider Business Practice Location Address
First Line : 7773 UNIVERSITY AVE
Second Line :
City : LA MESA
State : CA
Zip : 91942-4950
Country : US
Telephone Number : 760-741-1344
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2017
Last Update Date : 06/06/2017

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