JACK SHAWN HOUGHTALING

SAN RAFAEL, CA
NPI1225010705
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: CA  54643)
Enumeration Date2005-11-18
Last Update Date2007-07-08
Business Address
Dr. JACK SHAWN HOUGHTALING Pharm.D.
830 3RD ST
SAN RAFAEL, CA 94901-3302
Phone number: 415-455-9919
Mailing Address
Dr. JACK SHAWN HOUGHTALING Pharm.D.
1138 GAMBLE LN
ESCONDIDO, CA 92029-4438
Phone number:
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