Provider Demographics
NPI:1417106758
Name:JAMIESON, CAROL LINDA (RPH)
Entity Type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:LINDA
Last Name:JAMIESON
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14837 POMERADO RD
Mailing Address - Street 2:
Mailing Address - City:POWAY
Mailing Address - State:CA
Mailing Address - Zip Code:92064-2803
Mailing Address - Country:US
Mailing Address - Phone:858-748-8266
Mailing Address - Fax:858-748-1486
Practice Address - Street 1:14837 POMERADO RD
Practice Address - Street 2:
Practice Address - City:POWAY
Practice Address - State:CA
Practice Address - Zip Code:92064-2803
Practice Address - Country:US
Practice Address - Phone:858-748-8266
Practice Address - Fax:858-748-1486
Is Sole Proprietor?:No
Enumeration Date:2008-09-10
Last Update Date:2008-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53714183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist