Provider Demographics
NPI:1902417868
Name:CARO, JYLANNIE T (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JYLANNIE
Middle Name:T
Last Name:CARO
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 1:2299 BRONZE STAR DR
Mailing Address - Street 2:
Mailing Address - City:WOODLAND
Mailing Address - State:CA
Mailing Address - Zip Code:95776-5409
Mailing Address - Country:US
Mailing Address - Phone:530-406-2129
Mailing Address - Fax:530-406-2126
Practice Address - Street 1:2299 BRONZE STAR DR
Practice Address - Street 2:
Practice Address - City:WOODLAND
Practice Address - State:CA
Practice Address - Zip Code:95776-5409
Practice Address - Country:US
Practice Address - Phone:530-406-2129
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-13
Last Update Date:2020-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA82787183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist