Provider Demographics
NPI:1538442025
Name:OROZCO, JASON AREND (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JASON
Middle Name:AREND
Last Name:OROZCO
Suffix:
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 1:420 LANFORD CT
Mailing Address - Street 2:
Mailing Address - City:EL DORADO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:95762-9547
Mailing Address - Country:US
Mailing Address - Phone:805-618-8532
Mailing Address - Fax:
Practice Address - Street 1:4051 DOUGLAS BLVD
Practice Address - Street 2:
Practice Address - City:GRANITE BAY
Practice Address - State:CA
Practice Address - Zip Code:95746-5901
Practice Address - Country:US
Practice Address - Phone:916-791-7576
Practice Address - Fax:916-791-7633
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-21
Last Update Date:2011-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA58797183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist