Provider Demographics
NPI:1548464738
Name:JAWICH, AMER (RPH)
Entity type:Individual
Prefix:
First Name:AMER
Middle Name:
Last Name:JAWICH
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:PO BOX 920070
Mailing Address - Street 2:
Mailing Address - City:SYLMAR
Mailing Address - State:CA
Mailing Address - Zip Code:91392-0070
Mailing Address - Country:US
Mailing Address - Phone:818-474-5750
Mailing Address - Fax:818-474-5740
Practice Address - Street 1:13752 FOOTHILL BLVD
Practice Address - Street 2:
Practice Address - City:SYLMAR
Practice Address - State:CA
Practice Address - Zip Code:91342-3193
Practice Address - Country:US
Practice Address - Phone:818-474-5750
Practice Address - Fax:818-474-5740
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-12
Last Update Date:2025-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA56999183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA56999OtherSTATE PHARMACIST LICENSE