MEDICARE: PANKAJ A ASHAR

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	45872	CA

General Provider Information

NPI Number	:	1780985804
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PANKAJ A ASHAR

Provider Business Mailing Address
First Line	:	5431 CLAYTON RD
Second Line	:
City	:	CLAYTON
State	:	CA
Zip	:	94517-1039
Country	:	US
Telephone Number	:	925-672-2107
Fax Number	:	925-672-2152

Provider Business Practice Location Address
First Line	:	5431 CLAYTON RD
Second Line	:
City	:	CLAYTON
State	:	CA
Zip	:	94517-1039
Country	:	US
Telephone Number	:	925-672-2107
Fax Number	:	925-672-2152

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

Provider Enumeration Date	:	11/05/2010
Last Update Date	:	11/05/2010

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Directions to “ PANKAJ A ASHAR ” Practice Location

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