NPI 1003355033

Jennifer Ingrid Purificacion, PHARMD

Practitioner Pharmacist San Diego, CA

Practice location

Address: 640 University Ave, San Diego, CA 92103-3213
Phone: (619) 295-6688
Mailing address: 6431 Benson Ave, San Diego, CA 92114-4210

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 65644 (CA)

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Registry record

NPI: 1003355033
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Feb 2017
Record last updated: 24 Aug 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.