# JAFA PHARMACEUTICALS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CREEKSIDE PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629604368
- **Authorized official:** TONY IBRAHIM (CEO)
- **Authorized official phone:** (760) 987-6796

## Contact information

- **Practice address:** 95 MONTGOMERY DR STE 108, SANTA ROSA, CA 95404-6617
- **Practice address phone:** (707) 525-1130
- **Practice address fax:** (707) 525-8099
- **Mailing address:** 95 MONTGOMERY DR STE 108, SANTA ROSA, CA 95404-6617
- **Mailing address phone:** (707) 525-1130
- **Mailing address fax:** (707) 525-8099

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 03/13/2020
- **Last updated:** 03/13/2020