Provider Demographics
NPI:1033962766
Name:TOOR, JESSE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JESSE
Middle Name:
Last Name:TOOR
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:824 WESTGATE DR
Mailing Address - Street 2:
Mailing Address - City:VACAVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95687-7722
Mailing Address - Country:US
Mailing Address - Phone:707-365-7146
Mailing Address - Fax:
Practice Address - Street 1:1844 SAN MIGUEL DR STE 105
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-8601
Practice Address - Country:US
Practice Address - Phone:925-937-6800
Practice Address - Fax:925-937-4149
Is Sole Proprietor?:No
Enumeration Date:2024-04-11
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA76975183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist