Organization
JAFA PHARMACEUTICALS, INC.
Active
Other names
CREEKSIDE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
TONY IBRAHIM (CEO)
(760) 987-6796
Entity
Organization
Contact information
Practice address
95 MONTGOMERY DR STE 108, SANTA ROSA, CA 95404-6617
(707) 525-1130
(707) 525-8099
Mailing address
95 MONTGOMERY DR STE 108, SANTA ROSA, CA 95404-6617
(707) 525-1130
(707) 525-8099
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
03/13/2020
Last updated
03/13/2020
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