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NPI Code Detail

MEDICARE: CHRISTIN PANSAWIRA RPH

MEDICARE: CHRISTIN PANSAWIRA RPH
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
1183500000XPharmacist71481CA

General Provider Information

NPI Number : 1922552082
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTIN PANSAWIRA RPH
Provider Business Mailing Address
First Line : 1405 FOXWORTHY AVE
Second Line :
City : SAN JOSE
State : CA
Zip : 95118-1119
Country : US
Telephone Number : 408-264-0371
Fax Number :
Provider Business Practice Location Address
First Line : 1405 FOXWORTHY AVE
Second Line :
City : SAN JOSE
State : CA
Zip : 95118-1119
Country : US
Telephone Number : 408-264-0371
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2016
Last Update Date : 08/06/2016

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Directions to “ CHRISTIN PANSAWIRA RPH” Practice Location

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