Joe Jiravisitcul, PHARM. D.

NPI #1922436542 in Capitola, California

Provider Information

NPI Number
1922436542
Entity Type
Individual
Name
Joe Jiravisitcul, PHARM. D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Credential
PHARM. D.
Enumeration Date
Oct 16, 2013
Last Updated
Oct 16, 2013

Practice Location

Address
1825 41ST AVE
Address 2
TARGET PHARMACY STORE NUMBER T-2795
ZIP Code
95010-2504
Phone
(831) 227-2101

Specialties & Taxonomy Codes

Specialty
Pharmacist

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