Provider Demographics
NPI:1629139258
Name:SALVOTTI, EMIL P (PHARMD PHD)
Entity Type:Individual
Prefix:DR
First Name:EMIL
Middle Name:P
Last Name:SALVOTTI
Suffix:
Gender:M
Credentials:PHARMD PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3525 THORSON DR
Mailing Address - Street 2:
Mailing Address - City:PLACERVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95667-7809
Mailing Address - Country:US
Mailing Address - Phone:530-647-2440
Mailing Address - Fax:
Practice Address - Street 1:3525 THORSON DR
Practice Address - Street 2:
Practice Address - City:PLACERVILLE
Practice Address - State:CA
Practice Address - Zip Code:95667-7809
Practice Address - Country:US
Practice Address - Phone:530-674-7244
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2016-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23735183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA23735OtherSTATE LICENSE NUMBER