Most Relevant Information
Provider Data
| NPI Number: | 1003574963 |
| Provider Name: | JERRY DON OSWALD PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 31903 |
Most Important Dates
| Enumeration Date: | 12/07/2021 |
| Last Updated: | 12/07/2021 |
Provider Practice Location
13400 NEWPORT AVE
TUSTIN
CA
927803753
Practice Location Phone/Fax
| Phone: | 7147311344 |
| Fax: | 7147317363 |
Provider Mailing Location
13400 NEWPORT AVE
TUSTIN
CA
927803753
Provider Mailing Phone/Fax
| Phone: | 7147311344 |
| Fax: | 7147317363 |