Most Relevant Information
Provider Data
| NPI Number: | 1003245267 |
| Provider Name: | NANETTE LATIMER PHARMACIST |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 32347 |
Most Important Dates
| Enumeration Date: | 11/07/2013 |
| Last Updated: | 11/07/2013 |
Provider Practice Location
5905 LAKE EARL DR
PHARMACY DEPARTMENT
CRESCENT CITY
CA
955320001
Practice Location Phone/Fax
| Phone: | 7074651000 |
| Fax: | 7074659178 |
Provider Mailing Location
5905 LAKE EARL DR
PHARMACY DEPARTMENT
CRESCENT CITY
CA
955320001
Provider Mailing Phone/Fax
| Phone: | 7074651000 |
| Fax: | 7074659178 |