Individual provider · Type 1 NPI

Jackie Lyn David Velasco, RPH

Pharmacist · Placerville, CA

NPI number 1083960975 Active

Practice location

1220 Broadway
Placerville, CA 95667-5806

Call (530) 626-5501 Map

Fax (530) 626-6147

Mailing address

928 Pacific St
Placerville, CA 95667-5631

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X65167 (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 1083960975

Jackie Lyn David Velasco, RPH's National Provider Identifier is 1083960975, issued on Jul 28, 2012. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Placerville, CA. The record was last updated on Jul 28, 2012.