Provider Demographics
NPI:1306072715
Name:GAFTER, IGAL (RPH)
Entity type:Individual
Prefix:MR
First Name:IGAL
Middle Name:
Last Name:GAFTER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5830 JAMESON CT.
Mailing Address - Street 2:FAMILY DISCOUNT PHARMACY, STE B
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608
Mailing Address - Country:US
Mailing Address - Phone:916-481-6900
Mailing Address - Fax:
Practice Address - Street 1:5830 JAMESON CT.
Practice Address - Street 2:FAMILY DISCOUNT PHARMACY, STE B
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608
Practice Address - Country:US
Practice Address - Phone:916-481-6900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-01
Last Update Date:2009-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA49109183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist