Houghtaling, Jack Shawn

Houghtaling, Jack Shawn is an individual health care provider with primary practice located at 830 3Rd St , San Rafael CA 94901-3302. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Houghtaling, Jack Shawn can be contacted via phone (415) 455-9919.

Contact Information

Primary practice address
830 3Rd St San Rafael CA 94901-3302
Phone: (415) 455-9919
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 54643 California

Profile Details

NPI number 1225010705
LBN Legal business name Houghtaling, Jack Shawn
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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