Provider Demographics
NPI:1922328905
Name:MCFAUL, JANIS SHIZUE (RPH)
Entity Type:Individual
Prefix:
First Name:JANIS
Middle Name:SHIZUE
Last Name:MCFAUL
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 1:1258 ALTA VISTA DR
Mailing Address - Street 2:
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92084-5647
Mailing Address - Country:US
Mailing Address - Phone:760-726-3792
Mailing Address - Fax:
Practice Address - Street 1:1201 S COAST HWY
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92054-5119
Practice Address - Country:US
Practice Address - Phone:760-433-4013
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-02
Last Update Date:2010-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA26854183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist