Provider Demographics
NPI:1336421098
Name:VESCI, JAMES J JR (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:J
Last Name:VESCI
Suffix:JR
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:640 UNIVERSITY AVE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103-3213
Mailing Address - Country:US
Mailing Address - Phone:619-295-6688
Mailing Address - Fax:619-294-3388
Practice Address - Street 1:640 UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-3213
Practice Address - Country:US
Practice Address - Phone:619-295-6688
Practice Address - Fax:619-294-3388
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-19
Last Update Date:2011-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA59071183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist