Individual provider · Type 1 NPI

Mitra Dastmalchi

Pharmacist · La Jolla, CA

NPI number 1902290562 Active

Practice location

8657 Villa La Jolla Dr
La Jolla, CA 92037-2356

Call (858) 597-0108 Map

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X44151 (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 1902290562

Mitra Dastmalchi's National Provider Identifier is 1902290562, issued on Mar 22, 2015. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in La Jolla, CA. The record was last updated on Mar 22, 2015.