John Paul Teague

Individual provider Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · NPI 1578078473

John Paul Teague is a Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in El Centro, California. Licensed in California. Registered with an NPI since 2017.

Licensed in: CA
In the registry since: 2017
Specialties on file: 2

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Practice location Address checks out

1560 S Imperial Ave
El Centro, CA 92243-4241
Phone: (760) 997-7800
Fax: (760) 997-7801

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary)	Taxonomy 183500000X · Licence 61480 (CA)
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	Taxonomy 1835P0018X · Licence 10402 (CA)

Record details

NPI number	1578078473
Entity type	Individual (Type 1)
Gender	Male
Sole proprietor	No
NPI enumerated	December 13, 2017
Last updated in NPPES	June 8, 2020
Certification date	June 8, 2020
Mailing address	1947 Higgins Ln, El Centro, CA 92243-9542