Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACK SHAWN HOUGHTALING, PHARM.D.
ActiveDR. JACK SHAWN HOUGHTALING, PHARM.D. is a Pharmacist healthcare provider located in SAN RAFAEL, California. NPI 1225010705 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · SAN RAFAEL, CA
Registration Details
- NPI Number
- 1225010705
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 18, 2005 (20.554732159528 yrs)
- Last Updated
- Jul 8, 2007
- License
-
54643 (CA)
Practice Information
- Address
-
830 3RD STSAN RAFAEL, CA, 949013302Browse CA providers · Browse ZIP 94901
- Phone
- 4154559919
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in SAN RAFAEL, CA
| Name | Credential | NPI |
|---|---|---|
| DR. PAUL WILLIAM LOFHOLM | PHARM.D. | 1154314037 |
| INGRID HELENE GELMAN | PHARM.D. | 1619068251 |
| CHARLES S YONG | PHARM D | 1477646156 |
| DR. SUSAN LYNNE GESS | PHARM.D. | 1366536369 |
| MR. DAVID CLARK FERRY | PHARM.D | 1083700173 |
| MS. ANNE J. WARDELL | R.PH. | 1881781698 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.