MEDICARE: DR. MARC J. LEFIEF 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
1	183500000X	Pharmacist	36831	CA
2	1835N1003X	Nutrition Support Pharmacist	36831	CA

General Provider Information

NPI Number	:	1770566002
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARC J. LEFIEF PHARM D.

Provider Business Mailing Address
First Line	:	10681 E HIGHWAY 26
Second Line	:
City	:	STOCKTON
State	:	CA
Zip	:	95215-9579
Country	:	US
Telephone Number	:	209-461-5486
Fax Number	:	209-461-6890

Provider Business Practice Location Address
First Line	:	10681 E HIGHWAY 26
Second Line	:
City	:	STOCKTON
State	:	CA
Zip	:	95215-9579
Country	:	US
Telephone Number	:	209-461-5486
Fax Number	:	209-461-6890

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/21/2005
Last Update Date	:	09/11/2025

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