Individual provider · Type 1 NPI

Jacqueline Vera Takacs, PHARM D

Pharmacist · Phoenix, AZ

NPI number 1154400612 Active

Practice location

4212 North 16th Street
Phoenix, AZ 85016

Mailing address

PO Box 31001-0698
Pasadena, CA 91110-0698

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X13655 (AZ)

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 1154400612

Jacqueline Vera Takacs, PHARM D's National Provider Identifier is 1154400612, issued on Nov 3, 2006. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 8, 2007.