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NPI Code Detail

MEDICARE: EVE SOTELO PHARM D

MEDICARE:   EVE  SOTELO  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
1183500000XPharmacist51193CA

General Provider Information

NPI Number : 1649552308
Entity Type Code : Individual
Provider Name (Legal Business Name) : EVE SOTELO PHARM D
Provider Business Mailing Address
First Line : 4662 LA FRANCHI LN
Second Line :
City : EUREKA
State : CA
Zip : 95503-5974
Country : US
Telephone Number : 707-441-0955
Fax Number :
Provider Business Practice Location Address
First Line : 1424 BROADWAY ST
Second Line :
City : EUREKA
State : CA
Zip : 95501-0134
Country : US
Telephone Number : 707-441-1900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2011
Last Update Date : 09/19/2011

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Directions to “ EVE SOTELO PHARM D” Practice Location

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