Provider Demographics
NPI:1730499344
Name:LAW, JAMIE J (PHARMD)
Entity Type:Individual
Prefix:MS
First Name:JAMIE
Middle Name:J
Last Name:LAW
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 1:2345 SHERWOOD RD
Mailing Address - Street 2:
Mailing Address - City:SAN MARINO
Mailing Address - State:CA
Mailing Address - Zip Code:91108-2841
Mailing Address - Country:US
Mailing Address - Phone:818-371-9888
Mailing Address - Fax:
Practice Address - Street 1:2345 SHERWOOD RD
Practice Address - Street 2:
Practice Address - City:SAN MARINO
Practice Address - State:CA
Practice Address - Zip Code:91108-2841
Practice Address - Country:US
Practice Address - Phone:818-371-9888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-15
Last Update Date:2010-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA61249183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist