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NPI Code Detail

MEDICARE: DR. DWIGHT UTZMAN PHARM.D.

MEDICARE:  DR. DWIGHT  UTZMAN  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
1183500000XPharmacist55303CA

General Provider Information

NPI Number : 1710976931
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DWIGHT UTZMAN PHARM.D.
Provider Business Mailing Address
First Line : 521 PARNASSUS AVE
Second Line : C-152 BOX 0622
City : SAN FRANCISCO
State : CA
Zip : 94143-2206
Country : US
Telephone Number : 415-353-8851
Fax Number : 415-353-1097
Provider Business Practice Location Address
First Line : 521 PARNASSUS AVE
Second Line : C-152 BOX 0622
City : SAN FRANCISCO
State : CA
Zip : 94143-2206
Country : US
Telephone Number : 415-353-8851
Fax Number : 415-353-1097
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2005
Last Update Date : 07/08/2007

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Directions to “ DR. DWIGHT UTZMAN PHARM.D.” Practice Location

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