Most Relevant Information
Provider Data
| NPI Number: | 1003355033 |
| Provider Name: | JENNIFER INGRID PURIFICACION PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 65644 |
Most Important Dates
| Enumeration Date: | 02/23/2017 |
| Last Updated: | 08/24/2017 |
Provider Practice Location
640 UNIVERSITY AVE
SAN DIEGO
CA
921033213
Practice Location Phone/Fax
| Phone: | 6192956688 |
| Fax: |
Provider Mailing Location
6431 BENSON AVE
SAN DIEGO
CA
921144210
Provider Mailing Phone/Fax
| Phone: | 6199885199 |
| Fax: |