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NPI Code Detail

MEDICARE: LOREN ABAD NILES PHARMD

MEDICARE: LOREN ABAD NILES 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
1183500000XPharmacistRPH42618CA

General Provider Information

NPI Number : 1629155296
Entity Type Code : Individual
Provider Name (Legal Business Name) : LOREN ABAD NILES PHARMD
Provider Business Mailing Address
First Line : 1761 BROADWAY ST STE 209
Second Line :
City : VALLEJO
State : CA
Zip : 94589-2227
Country : US
Telephone Number : 707-645-2522
Fax Number : 707-645-2530
Provider Business Practice Location Address
First Line : 1761 BROADWAY ST STE 209
Second Line :
City : VALLEJO
State : CA
Zip : 94589-2227
Country : US
Telephone Number : 707-645-2522
Fax Number : 707-645-2530
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 07/08/2007

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Directions to “ LOREN ABAD NILES PHARMD” Practice Location

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