NAWARAT UDOMPHONKUL PHARMD - NPI 1104467810 - Pharmacist in San Diego, CA

Q: What is Nawarat Udomphonkul's NPI number?

The NPI number for Nawarat Udomphonkul is 1104467810. It was assigned to this individual provider in the NPPES registry on October 3, 2019.

Q: What is Nawarat Udomphonkul's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

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About Nawarat Udomphonkul Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NAWARAT UDOMPHONKUL PHARMD (NPI 1104467810) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in San Diego, California, licensed in California (56446) and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1104467810

Entity TypeIndividualFemale

Primary Taxonomy1835P0018X

Provider Legal NameNAWARAT UDOMPHONKULCredential: PHARMD

Location Address200 W ARBOR DRSan Diego, CA 92103-8765

Mailing Address3318 Poe StSan Diego, CA 92106-1804 · (415) 902-1577

Phone(415) 902-1577

Sole ProprietorNo

Enumeration DateOctober 3, 2019

✔ NPI 1104467810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers

Taxonomy Code1835P0018X

License✔ Licensed in CA · 56446

Definition

Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.

200 W ARBOR DR, San Diego, CA 92103

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RAMIN MOTARJEMI M.D.

Internal Medicine (Geriatric Medicine)