Provider Demographics
NPI:1295035293
Name:MAYERS, TAMI (PHARMD)
Entity Type:Individual
Prefix:
First Name:TAMI
Middle Name:
Last Name:MAYERS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:931 LOMAS SANTA FE DR
Mailing Address - Street 2:
Mailing Address - City:SOLANA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92075-1502
Mailing Address - Country:US
Mailing Address - Phone:858-481-2894
Mailing Address - Fax:858-481-4093
Practice Address - Street 1:931 LOMAS SANTA FE DR
Practice Address - Street 2:
Practice Address - City:SOLANA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92075-1502
Practice Address - Country:US
Practice Address - Phone:858-481-2894
Practice Address - Fax:858-481-4093
Is Sole Proprietor?:No
Enumeration Date:2010-10-25
Last Update Date:2010-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA46413183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist