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Individual

JAKE CASTROREALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD, BCPS

Contact information

Practice address
9888 GENESEE AVE, LA JOLLA, CA 92037-1205
(858) 626-6412
Mailing address
3160 CHICAGO ST, SAN DIEGO, CA 92117-6114
(714) 943-9992

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
84570
CA
1835P1200X
Pharmacotherapy Pharmacist
Primary
3168204
CA

Other

Enumeration date
02/28/2024
Last updated
02/28/2024
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