Individual
JERICK PORNILLOSA SAN MATEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
4150 CLEMENT ST, SAN FRANCISCO, CA 94121-1563
(415) 221-4810
Mailing address
4150 CLEMENT ST, SAN FRANCISCO, CA 94121-1563
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
75743
CA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
75743
CA
Other
Enumeration date
05/10/2017
Last updated
05/22/2026
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