Individual provider · Type 1 NPI

Sasipan Jetawatana

Pharmacist · Northridge, CA

NPI number 1053763144 Active

Practice location

18350 Roscoe Blvd
Northridge, CA 91325-4109

Call (818) 688-5772 Map

Mailing address

18350 Roscoe Blvd Ste 102
Northridge, CA 91325-4193

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X73148 (CA)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1053763144

Sasipan Jetawatana's National Provider Identifier is 1053763144, issued on Jul 12, 2016. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Northridge, CA. The record was last updated on Apr 28, 2022.