Deborah Lai
Individual provider Active NPI Pharmacist · Winterhaven, CA
NPI 1427655992 · NPPES record last updated Oct 7, 2020
Key facts
- NPI
- 1427655992
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 52076 (FL)
- Practice address
- 401 Picacho Rd
Winterhaven, CA 92283-9605 - Phone
- (760) 572-4100
- NPI assigned
- Oct 7, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52076 | FL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 52076 | FL | Yes |
Addresses
Primary practice location
401 Picacho Rd
Winterhaven, CA 92283-9605
Mailing address
11432 E 25TH St
Yuma, AZ 85367-3651
Other providers in Winterhaven, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.